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Michael Evans — NPI 1336093731, Bossier City, LA | NPI Central

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NPI 1336093731

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Michael Evans

NPI 1336093731 · Dental Assistant · Bossier City, LA

Provider details

NPI number: 1336093731
Entity type: Individual
Primary specialty: Dental AssistantDental Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Dental AssistantPrimary126800000X
Dental Providers
Dental Laboratory Technician126900000X
Dental Providers

Practice location

1326 Villaggio Blvd

Bossier City, LA 71111-7449

Phone: (702) 205-2623

Approximate (ZIP-level) locationGet directions

More LA providers

Mailing address

1326 Villaggio Blvd

Bossier City, LA 71111-7449

Registry dates

Enumerated: 2026-02-23
Last updated: 2026-02-23
Certified: 2026-02-23

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