Provider Demographics
NPI:1497328231
Name:EVANS, SAUL CHRISTIAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:SAUL
Middle Name:CHRISTIAN
Last Name:EVANS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1303 HIGHWAY 72
Mailing Address - Street 2:
Mailing Address - City:KILLEN
Mailing Address - State:AL
Mailing Address - Zip Code:35645-9136
Mailing Address - Country:US
Mailing Address - Phone:256-757-5313
Mailing Address - Fax:
Practice Address - Street 1:1303 HIGHWAY 72
Practice Address - Street 2:
Practice Address - City:KILLEN
Practice Address - State:AL
Practice Address - Zip Code:35645-9136
Practice Address - Country:US
Practice Address - Phone:256-757-5313
Practice Address - Fax:256-757-5301
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL69451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice