Provider Demographics
NPI:1407930050
Name:EVANS, EVERETT CHAD (DDS)
Entity Type:Individual
Prefix:DR
First Name:EVERETT
Middle Name:CHAD
Last Name:EVANS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 E MCKINNEY ST
Mailing Address - Street 2:SUITE 190
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76209-7557
Mailing Address - Country:US
Mailing Address - Phone:940-387-2442
Mailing Address - Fax:940-387-2444
Practice Address - Street 1:3600 E MCKINNEY ST
Practice Address - Street 2:SUITE 190
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76209-7557
Practice Address - Country:US
Practice Address - Phone:940-220-7833
Practice Address - Fax:940-387-2444
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4789122300000X
TX0023695122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist