NPI 1336093731
Michael Evans
Practice location
- Address
- 1326 Villaggio Blvd, Bossier City, LA 71111-7449
- Phone
- (702) 205-2623
Registered specialties (2)
Dental Assistant
Primary
Dental Laboratory Technician
Registry record
- NPI
- 1336093731
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 Feb 2026
- Record last updated
- 23 Feb 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.