IndividualActive
Larry Evans, DDS
NPI 1104815042 · Orthodontics and Dentofacial Orthopedics Dentistry · Jbsa Lackland, TX
Provider details
- NPI number
- 1104815042
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 17074 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(100/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2133 Pepperrell St Bldg 3352
Jbsa Lackland, TX 78236
Phone: (210) 292-8627
Approximate (ZIP-level) locationGet directions
Mailing address
13830 Palatine Hl
San Antonio, TX 78253-7004
Additional practice locations (2)
- 4102 Pinion Dr10th MdgUsaf Academy, CO 80840-2502Phone: (719) 333-5592Fax: (719) 333-5633
- 4102 Pinion Dr10th MdgUsaf Academy, CO 80840-2502Phone: (719) 333-5592Fax: (719) 333-5633
Registry dates
- Enumerated
- 2005-10-13
- Last updated
- 2019-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.