Individual
DE ANDRE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 E 11TH ST, NEWPORT, KY 41071-2203
(859) 655-6100
(859) 655-6186
Mailing address
215 E 11TH ST, NEWPORT, KY 41071-2203
(859) 655-6100
(859) 655-6186
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-00097
KY
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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