DR. LARRY JAMES EVANS


Address: 2133 Pepperrell St Bldg 3352, Jbsa Lackland, TX 78236
Phone: 2102928627

DR. LARRY JAMES EVANS (NPI# 1104815042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104815042
Entity Type Individual
Full Name DR. LARRY JAMES EVANS
Credential DDS
Practice Address 2133 Pepperrell St Bldg 3352
Jbsa Lackland
TX 78236
Mailing Address 13830 Palatine Hl
San Antonio
TX 78253-7004
Practice Telephone 2102928627
Mailing Telephone 7075925805
Enumeration Date 2005-10-13
Last Update Date 2019-08-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
17074 TX Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
4102 Pinion Dr, 10th Mdg, Usaf Academy, CO 808402502 7193335592 7193335633

Other Providers LARRY EVANS

NPI Name Taxonomy Address Enumeration
1083682439 Larry A Evans Dermatology 79 Turnpike Ave, Portsmouth, RI 02871-1419 2006-03-10
1770557373 Larry W Evans Anesthesiology 6202 Iola Ave Ste 101, Lubbock, TX 79424-2729 2006-02-13
1730727660 Larry Brian Evans Dentist 55 Towler Rd, Lawrenceville, GA 30046-4717 2019-12-10
1710421912 Larry Evans Counselor 621 W Madrone St, 621 W Madrone Street, Roseburg, OR 97470-3090 2016-12-07
1093089492 Larry Evans Jr. Counselor 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 2012-03-02
1699959437 Larry Evans Counselor 1654 E Union St, Greenville, MS 38703-3250 2007-12-27
1669540522 Larry Craig Evans Internal Medicine 2770 Cortez Ave, Idaho Falls, ID 83404-7590 2006-11-30
1922198589 Larry Evans Psychologist 800 Marshall St # 653, Little Rock, AR 72202-3510 2006-10-13
1427069020 Larry Burnett Evans Dentist 200 Mlk Jr Blvd, Wichita Falls, TX 76301-1152 2006-08-10
1356316202 Larry D Evans Dentist 3550 S 4th St, Suite 240, Leavenworth, KS 66048-5071 2006-02-22

Office Location

Street Address 2133 PEPPERRELL ST BLDG 3352
City JBSA LACKLAND
State TX
Zip Code 78236

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144775750 Vincent Archer Dentist 2133 Pepperrell St Bldg 3352, Jbsa Lackland, TX 78236-5313 2016-08-24
1326429077 John R Ensley Dentist 2133 Pepperrell St Bldg 3352, Jbsa Lackland, TX 78236-5313 2015-06-17
1043624695 Harrison Gordner Dentist 2133 Pepperrell St Bldg 3352, 2133 Pepperrell Street, Building 3352, Jbsa Lackland, TX 78236-5313 2014-06-11
1669897906 Joshua Nardone Dentist 2133 Pepperrell St Bldg 3352, Jbsa Lackland, TX 78236-5313 2014-02-24
1447688460 Gregory Wright II Dentist 2133 Pepperrell St Bldg 3352, Jbsa Lackland, TX 78236-5313 2013-10-30
1346596509 Rondre Florant Baluyot Dentist 2133 Pepperrell St Bldg 3352, Jbsa Lackland, TX 78236-5313 2012-07-25
1720394588 Mandy Miller Dentist 2133 Pepperrell St Bldg 3352, 59 Dg Af Postgraduate School, Jbsa Lackland, TX 78236-5313 2010-08-30
1679885958 Ryan Richard Sheridan Dentist 2133 Pepperrell St Bldg 3352, Jbsa Lackland, TX 78236-5313 2010-07-02
1538126511 Wendy Dees Lobre Dentist 2133 Pepperrell St Bldg 3352, Jbsa Lackland, TX 78236 2006-04-26
1316907868 Allen Morgan Pratt Dentist 2133 Pepperrell St Bldg 3352, Jbsa Lackland, TX 78236-5313 2006-03-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063047363 Arnoldo Arturo Gonzalez Jr. Specialist/Technologist 1033 Truemper St, Lackland Afb, TX 78236 2020-03-06
1023643343 Meredith Grace Cockerell Specialist/Technologist W Military Drive, San Antonio, TX 78236 2020-03-06
1578120598 Hali Rashelle Hall Dentist 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 2019-05-24
1952967077 Paul Fianza Boseman Nurse Practitioner 1106 Wilford Hall Loop, San Antonio, TX 78236 2019-05-14
1689161978 Kelly Jones Buckshire Dentist Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 2018-04-23
1902308570 Roger Louis Farney Student in an Organized Health Care Education/Training Program 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 2018-02-28
1568916856 Thomas Maxwell Woolf Dentist 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 2016-08-04
1831544956 Michael Veronneau Student in an Organized Health Care Education/Training Program 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 2016-04-26
1376906958 David Kephart Jr. General Practice 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 2016-04-01
1184084089 Olivia Arballo Dermatology Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 2016-03-04
Find all providers in zip 78236

Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750989992 Maxwell Oldham Dentist 115 Kohlers Xing Ste 350, Kyle, TX 78640-2467 2020-10-10
1154928943 Amanda Gerlach Dentist 3550 Hulen St Ste C, Fort Worth, TX 76107-6885 2020-10-05
1700496411 Farhana Rahman Dentist 398 E Pipeline Rd, Hurst, TX 76053-5831 2020-08-06
1093324675 Frisco Braces Pllc Dentist 5285 Dallas Pkwy Ste 500, Frisco, TX 75034-9634 2020-07-29
1316556061 Prosper Braces Pllc Dentist 821 N Coleman St Ste 110, Prosper, TX 75078-2305 2020-07-29
1871118133 Tardy Orthodontics PC Dentist 8805 North Tarrant Parkway, Suite 200, North Richland Hills, TX 76182 2020-06-12
1285256636 Bear Dental Corp Dentist 210 N. Coit Rd., Mckinney, TX 75071 2020-05-08
1275155665 Joanna Song Dentist 2540 Fm 2920 Rd Ste H, Spring, TX 77388-3672 2020-05-08
1477175917 Meredith Ann Williams Dentist 5215 Fm 1463 Rd Ste 700, Katy, TX 77494-7437 2020-05-06
1740809003 Boss Orthodontics, Pllc Dentist 15801 W Hwy 71 Ste 600, Bee Cave, TX 78738-2709 2020-04-15
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Competitor

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City JBSA LACKLAND
Zip Code 78236

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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