# MR. ERIK WILLIAM EVANS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1740356534
- **Gender:** Man
- **Credential:** DDS, MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 20929 | OH | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 30.020929 | OH | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 35.087935 | OH | Yes |
| 208600000X | Surgery Physician | 35.087935 | OH | — |

## Other

- **Enumeration date:** 11/26/2006
- **Last updated:** 02/26/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2666959 | — | OH |