Provider Demographics
NPI:1689896797
Name:EVANS, GERALD SCOTT (DDS)
Entity type:Individual
Prefix:DR
First Name:GERALD
Middle Name:SCOTT
Last Name:EVANS
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 1:6033 SHERRY LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-6417
Mailing Address - Country:US
Mailing Address - Phone:214-337-5202
Mailing Address - Fax:888-824-7320
Practice Address - Street 1:6033 SHERRY LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-6417
Practice Address - Country:US
Practice Address - Phone:214-337-5202
Practice Address - Fax:888-824-7320
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX150301223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice