Individual
DR. EDWARD E EVANS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
830 W ABRIENDO AVE STE B, PUEBLO, CO 81004-1562
(719) 543-1132
Mailing address
830 W ABRIENDO AVE STE B, PUEBLO, CO 81004-1562
(719) 543-1132
(719) 224-3027
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
204314
CO
122300000X
Dentist
Primary
9501074-9921
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000185777
—
CO
Enumeration date
08/18/2015
Last updated
02/04/2026
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