Provider Demographics
NPI:1558742106
Name:ADAMS, EVAN CHRISTOPHER (DDS)
Entity type:Individual
Prefix:DR
First Name:EVAN
Middle Name:CHRISTOPHER
Last Name:ADAMS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 DAIRY ASHFORD RD STE 104
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-5306
Mailing Address - Country:US
Mailing Address - Phone:281-493-4173
Mailing Address - Fax:281-493-4388
Practice Address - Street 1:909 DAIRY ASHFORD RD STE 104
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079
Practice Address - Country:US
Practice Address - Phone:281-493-4173
Practice Address - Fax:281-493-4388
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-09
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30957122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist