Individual provider · Type 1 NPI
Jared Dean Evans, DMD
Pediatric Dentistry · Liberty Lake, WA
NPI number
1306927892
Active
Practice location
1327 N Stanford Ln, Suite B
Liberty Lake, WA 99019-5034
Fax (509) 891-4741
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | DE00010191 (WA) |
| Pediatric Dentistry | 1223P0221X | DN16714 (FL) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2 other providers at this address
About NPI 1306927892
Jared Dean Evans, DMD's National Provider Identifier is 1306927892, issued on Oct 18, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Liberty Lake, WA. The record was last updated on Jul 27, 2012.