Provider Demographics
NPI:1336347681
Name:EVANS, ELIZABETH ANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ANN
Last Name:EVANS
Suffix:
Gender:F
Credentials:DDS
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Mailing Address - Street 1:601 S CONCORD ST
Mailing Address - Street 2:STE 102
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-3306
Mailing Address - Country:US
Mailing Address - Phone:865-851-9347
Mailing Address - Fax:865-577-6418
Practice Address - Street 1:601 S CONCORD ST
Practice Address - Street 2:STE 102
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-3306
Practice Address - Country:US
Practice Address - Phone:865-851-9347
Practice Address - Fax:865-577-6418
Is Sole Proprietor?:No
Enumeration Date:2007-07-09
Last Update Date:2012-06-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN87021223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry