Provider Demographics
NPI:1447536743
Name:EVANS-SEMMEL, DANA ANN (DMD)
Entity type:Individual
Prefix:DR
First Name:DANA
Middle Name:ANN
Last Name:EVANS-SEMMEL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 AIRLIE RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-3727
Mailing Address - Country:US
Mailing Address - Phone:910-620-4246
Mailing Address - Fax:910-509-1767
Practice Address - Street 1:1310 AIRLIE RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-3727
Practice Address - Country:US
Practice Address - Phone:910-620-4246
Practice Address - Fax:910-509-1767
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-31
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC 7428122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist