EVANS DENTAL PA
NPI 1205306941
Clinic/Center - Dental in Burley, ID

Active since November 26, 2018
1308 BENNETT AVE, BURLEY, ID 83318(208) 647-4441 Get Directions Write a Review

NPPES record last updated: November 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evans Dental Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVANS DENTAL PA (NPI 1205306941) is a healthcare organization registered as a dental in Burley, Idaho and active in the NPI registry since November 2018. The organization lists Mark Evans, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1205306941
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameEVANS DENTAL PA
Location Address1308 BENNETT AVEBurley, ID 83318-2665
Mailing Address1308 Bennett AveBurley, ID 83318-2665 · (208) 647-4441
Organization SubpartNo
Authorized OfficialMark EvansDentist/owner · (208) 647-4441
Enumeration DateNovember 26, 2018
NPI 1205306941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1308 BENNETT AVE, Burley, ID 83318

Other Identifiers 1

Medicaid33733ID

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
1308 BENNETT AVE
BURLEY, ID 83318

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evans Dental PA's NPI number?

The NPI number for Evans Dental PA is 1205306941. It was assigned to this organization in the NPPES registry on November 26, 2018.

Where is Evans Dental PA located?

Evans Dental PA is located at 1308 Bennett Ave, Burley, ID 83318. The listed phone number is (208) 647-4441.

What is Evans Dental PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Evans Dental PA accept?

Health plans from UnitedHealthcare list Evans Dental PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evans Dental PA was last updated on November 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.