Evans, Larry James
Evans, Larry James is an individual health care provider with primary practice located at 2133 Pepperrell St Bldg 3352 , Jbsa Lackland TX 78236. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Evans, Larry James can be contacted via phone (210) 292-8627.Contact Information
Primary practice address
2133 Pepperrell St Bldg 3352
Jbsa Lackland TX 78236
Phone: (210) 292-8627
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 17074 | Texas |
Profile Details
| NPI number | 1104815042 |
|---|---|
| LBN Legal business name | Evans, Larry James |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Aug 21st, 2019 - about 5 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.
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