Individual
DR. EVAN ANDREW HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1631 WETZEL AVENUE, BLDG 815, US ARMY DENTAL ACTIVITY, ATTN CREDENTIALS OFFICE, FORT CARSON, CO 80913
(719) 526-5537
(719) 526-5551
Mailing address
1667 COCHRANE CIR BLDG 7495, FORT CARSON, CO 80913-4603
(719) 526-5537
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
008886
CT
1223G0001X
General Practice Dentistry
049231-1
NY
1223G0001X
General Practice Dentistry
Primary
DEN-10669
CO
Other
Enumeration date
12/12/2006
Last updated
02/13/2023
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