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Dr. Jared Dean Evans, DMD
Pediatric Dentist in Liberty Lake, Washington
NPI 1306927892

Jared Dean Evans is a Pediatric Dentist based in Liberty Lake, WA and is specialized in Pediatric Dentistry. Jared Dean Evans practices in Liberty Lake, WA and has the professional credentials of DMD. The NPI Number for Jared Dean Evans is 1306927892 and holds a License No. DE00010191 (Washington).

The current practice location address for Jared Dean Evans is 1327 N Stanford Ln, Liberty Lake, WA and can be reached out via phone at 509-891-7070 and via fax at 509-891-4741.

Location: 1327 N Stanford Ln, Liberty Lake, WA, 99019-5034
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306927892
Provider Name
Jared Dean Evans
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1327 N Stanford Ln, Liberty Lake, WA, 99019-5034
Phone Number
509-891-7070
Fax Number
509-891-4741
Provider Enumeration Date
10/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5048236 05 WA
5050513 05 WA
institution
Provider Business Practice Location Address Details
Address
1327 N Stanford Ln
City
Liberty Lake
State
Washington
Zip
99019-5034
Phone Number
509-891-7070
Fax Number
509-891-4741
person
Provider Business Mailing Address Details
Address
1327 N Stanford Ln
City
Liberty Lake
State
Washington
Zip
99019-5034
Phone Number
509-891-7070
Fax Number
509-891-4741
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DE00010191 (Washington)
Definition
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.
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