IndividualActive
Heath Evans, DDS
NPI 1417187063 · Oral and Maxillofacial Surgery (Dentist) · Broken Arrow, OK
Provider details
- NPI number
- 1417187063
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 6153 (OK)
Specialties & taxonomies
Dental Providers
Practice location
4716 W Urbana St
Broken Arrow, OK 74012-5997
Phone: (918) 449-5800
Approximate (ZIP-level) locationGet directions
Mailing address
4716 W Urbana St
Broken Arrow, OK 74012-5997
Registry dates
- Enumerated
- 2009-07-16
- Last updated
- 2013-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.