Evans, Larry D

Evans, Larry D is an individual health care provider with primary practice located at 3550 S 4Th St Suite 240, Leavenworth KS 66048-5071. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Evans, Larry D can be contacted via phone (913) 772-4334.

Contact Information

Primary practice address
3550 S 4Th St Suite 240 Leavenworth KS 66048-5071
Phone: (913) 772-4334
Fax: (913) 772-0851
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 4672 Kansas

Profile Details

NPI number 1356316202
LBN Legal business name Evans, Larry D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers