# ERON J EVANS DDS, PA

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

## Provider details

- **NPI number:** 1508031071
- **Authorized official:** DR. ERON J. EVANS DDS, PA (PRESIDENT)
- **Authorized official phone:** (208) 238-0600

## Contact information

- **Practice address:** 2010 FLANDRO DR, POCATELLO, ID 83202-1947
- **Practice address phone:** (208) 238-0600
- **Mailing address:** 2010 FLANDRO DR, POCATELLO, ID 83202-1947
- **Mailing address phone:** (208) 238-0600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D-3891 | ID | Yes |

## Other

- **Enumeration date:** 04/25/2008
- **Last updated:** 04/25/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 807673600 | — | ID |