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Travis Evans
General Practice Dentistry in Gallup, New Mexico
NPI 1639432354

Travis Evans is a General Practice Dentistry based in Gallup, NM and is specialized in General Practice. Travis Evans practices in Gallup, NM. The NPI Number for Travis Evans is 1639432354 and holds a License No. DD3671 (New Mexico).

The current practice location address for Travis Evans is 1601 S Second St, Gallup, NM and can be reached out via phone at 505-722-4422.

Location: 1601 S Second St, Gallup, NM, 87301-5816
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639432354
Provider Name
Travis Evans
Credential
Provider Entity Type
Individual
Gender
Male
Address
1601 S Second St, Gallup, NM, 87301-5816
Phone Number
505-722-4422
Fax Number
Provider Enumeration Date
06/18/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1601 S Second St
City
Gallup
State
New Mexico
Zip
87301-5816
Phone Number
505-722-4422
Fax Number
person
Provider Business Mailing Address Details
Address
1601 S Second St
City
Gallup
State
New Mexico
Zip
87301-5816
Phone Number
505-722-4422
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DD3671 (New Mexico)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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