Individual provider · Type 1 NPI

Brock D. Evans, DMD

Oral and Maxillofacial Surgery (Dentist) · Maryville, TN

NPI number 1073785010 Active

Practice location

1505 E Lamar Alexander Pkwy
Maryville, TN 37804-5131

Call (865) 983-8630 Map

Fax (865) 981-4914

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDS8807 (TN)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1073785010

Brock D. Evans, DMD's National Provider Identifier is 1073785010, issued on Mar 31, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Maryville, TN. The record was last updated on Aug 10, 2012.