NPI age
7 years
Enumerated 2018-11-26
● Active Type 2 · Organization
Evans Dental PA
Evans Dental PA is 1 of 202 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Evans
Dentist/owner
Last NPPES update
2018-11-26
Source: monthly bulk 2026-05
How this organization compares
Across 202 active clinic/center providers in Idaho.
NPI age
7 years
≈ at median (8 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2018 → 2026
2018-11Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
1308 Bennett Ave
Burley, ID 833182665
Mailing address
1308 Bennett Ave
Burley, ID 833182665
Authorized official
Mark Evans, DMD
Dentist/owner
📞 2086474441
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Ellen Judd, P.A. Physician Assistant NPI 1972560480
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 33733 |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.