Individual provider · Type 1 NPI

Larry James Evans, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Jbsa Lackland, TX

NPI number 1104815042 Active

Practice location

2133 Pepperrell St Bldg 3352
Jbsa Lackland, TX 78236

Call (210) 292-8627 Map

Mailing address

13830 Palatine Hl
San Antonio, TX 78253-7004

Other practice locations

  • 4102 Pinion Dr, 10th Mdg, Usaf Academy, CO 80840-2502 · (719) 333-5592
  • 4102 Pinion Dr, 10th Mdg, Usaf Academy, CO 80840-2502 · (719) 333-5592

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X17074 (TX)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1104815042

Larry James Evans, DDS's National Provider Identifier is 1104815042, issued on Oct 13, 2005. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Jbsa Lackland, TX. The record was last updated on Aug 21, 2019.