Individual
DR. JOHN ROBERT EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3905 NATIONAL DR, STE. 180, BURTONSVILLE, MD 20866-1100
(301) 421-4000
Mailing address
3905 NATIONAL DR, STE. 180, BURTONSVILLE, MD 20866-1100
(301) 421-4000
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6322
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
956705
UNITED CONCORDIA
MD
Enumeration date
04/24/2007
Last updated
07/08/2007
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