# EVANS DENTAL PLLC

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

## Provider details

- **NPI number:** 1528613130
- **Authorized official:** DWAYNE EVANS DDS (OWNER)
- **Authorized official phone:** (972) 306-3282

## Contact information

- **Practice address:** 3501 SHEPHERD LN, BALCH SPRINGS, TX 75180-2325
- **Practice address phone:** (972) 286-5711
- **Mailing address:** 3501 SHEPHERD LN, BALCH SPRINGS, TX 75180-2325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/09/2019
- **Last updated:** 08/09/2019