# TRAVIS EVANS DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316508765
- **Authorized official:** TRAVIS K EVANS DDS (DENTIST/OWNER)
- **Authorized official phone:** (480) 898-3053

## Contact information

- **Practice address:** 633 N GILBERT RD, MESA, AZ 85203-6629
- **Practice address phone:** (480) 898-3053
- **Practice address fax:** (480) 656-4864
- **Mailing address:** 633 N GILBERT RD, MESA, AZ 85203-6629
- **Mailing address phone:** (480) 898-3053
- **Mailing address fax:** (480) 656-4864

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/26/2019
- **Last updated:** 06/26/2019