Jake L. Evans

Dentist · Leesburg, GA

Individual Active NPI

NPI number 1174018436

Practice location

138 Oakland Pkwy
Leesburg, GA 31763-7200
Phone
(229) 432-2213

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NPI record

NPI
1174018436
Entity type
Individual (Type 1)
Enumeration date
June 28, 2018
Last updated
June 28, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DN1015660 GA

Mailing address

183 Mirror Lake Rd
Fitzgerald, GA 31750-6160
Phone
(229) 325-4381

About Jake Evans

Jake L. Evans is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 138 Oakland Pkwy, Leesburg, GA 31763-7200. The NPI number 1174018436 was assigned on June 28, 2018 and the record was last updated on June 28, 2018.

Jake Evans lists a license in the registry: #DN1015660 (GA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jake L. Evans?

The NPI number is 1174018436.

What is the phone number of Jake Evans?

The phone number listed for the practice location is (229) 432-2213.

Where is Jake Evans located?

138 Oakland Pkwy, Leesburg, GA 31763-7200.

What is the taxonomy code for Jake Evans?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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