# JAMES G. EVANS D.D.S., INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Triad Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609995109
- **Authorized official:** DR. JAMES GLENNON EVANS D.D.S. (DENTIST)
- **Authorized official phone:** (636) 441-7440

## Contact information

- **Practice address:** 1400 TRIAD CENTER DR, SAINT PETERS, MO 63376-7351
- **Practice address phone:** (636) 441-7440
- **Practice address fax:** (636) 441-9594
- **Mailing address:** 1400 TRIAD CENTER DR, SAINT PETERS, MO 63376-7351
- **Mailing address phone:** (636) 441-7440
- **Mailing address fax:** (636) 441-9594

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 013030 | MO | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 08/22/2020