Evan Jansen, DMD

Dentist · Providence, RI

Individual Active NPI

NPI number 1568166908

Practice location

593 Eddy St
Providence, RI 02903-4923
Phone
(401) 444-7195

Open in Google Maps

NPI record

NPI
1568166908
Entity type
Individual (Type 1)
Enumeration date
March 29, 2023
Last updated
June 23, 2023
Certified
June 23, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X LD00212 RI
Student in an Organized Health Care Education/Training Program 390200000X — —

About Dr. Jansen

Evan Jansen, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 593 Eddy St, Providence, RI 02903-4923. The NPI number 1568166908 was assigned on March 29, 2023 and the record was last updated on June 23, 2023.

Dr. Jansen lists a license in the registry: #LD00212 (RI) 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 Evan Jansen, DMD?

The NPI number is 1568166908.

What is the phone number of Dr. Jansen?

The phone number listed for the practice location is (401) 444-7195.

Where is Dr. Jansen located?

593 Eddy St, Providence, RI 02903-4923.

What is the taxonomy code for Dr. Jansen?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

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.

Other Dentist providers in Providence

All Dentist providers in Providence, RI →