Organization
G SCOTT EVANS DDS PA
Active
Other names
Straight Teeth Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD SCOTT EVANS DDS (OWNER)
(972) 871-0033
Entity
Organization
Contact information
Practice address
2000 ESTERS RD, SUITE 140, IRVING, TX 75061-9531
(972) 871-0033
(972) 871-0088
Mailing address
2000 ESTERS RD, SUITE 140, IRVING, TX 75061-9531
(972) 871-0033
(972) 871-0088
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
15030
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166592902
—
TX
Enumeration date
01/26/2011
Last updated
01/26/2011
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