| Organization Name: | J. EVANS, DMD, P.S. |
| NPI Number: | 1144427964 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JARED D EVANS (OWNER-DENTIST) |
| Mailing Address: | 1327 N Stanford Lane Suite B Liberty Lake |
| State: | WA US |
| Postal Code: | 99019 |
| Phone Number: | 5098917070 |
| Fax Number: | 5098914741 |
| NPI Enumeration Date: | 06/27/2007 |
| NPI Last Update Date: | 03/31/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1223P0221X |
| License Number: | 10191 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Dentist |
| Taxonomy Specialization: | Pediatric Dentistry |
| Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |