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NPI 1063372365

IndividualActive

De Andre Evans

NPI 1063372365 · General Practice Dentistry · Newport, KY

Provider details

NPI number: 1063372365
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Sex: Male
Sole proprietor: No
License: D-00097 (KY)

Practice location

215 E 11th St

Newport, KY 41071-2203

Phone: (859) 655-6100

Fax: (859) 655-6186

More KY providers

Mailing address

215 E 11th St

Newport, KY 41071-2203

Registry dates

Enumerated: 2025-11-18
Last updated: 2025-11-18

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

De Andre Evans — NPI 1063372365, Newport, KY | NPI Central