Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EVAN SHIPP
Active Sole ProprietorEVAN SHIPP is a Oral & Maxillofacial Surgery healthcare provider located in JBSA LACKLAND, Texas. NPI 1023378999 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · JBSA LACKLAND, TX
Registration Details
- NPI Number
- 1023378999
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2012 (14.234333872807 yrs)
- Last Updated
- Jul 22, 2020
- Licenses
-
61852 (CA)35986 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1100 WILFORD HALL LOOP BLDG 4554JBSA LACKLAND, TX, 782365638Browse TX providers · Browse ZIP 78236
- Phone
- 5126215529
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
Other Oral & Maxillofacial Surgery Providers in JBSA LACKLAND, TX
| Name | Credential | NPI |
|---|---|---|
| CRAIG HARDING RHYNE JR. | DMD, FACS | 1508858176 |
| DR. BRADLEY MICHAEL TURNER | D.D.S. | 1982698700 |
| DR. TIBEBU MEKONNEN TSEGGA | D.D.S. | 1528149358 |
| DR. MATTHEW T POPP | DDS | 1194073817 |
| STEVEN LOHMEIER | DMD | 1679949374 |
| WILLIAM ARTHUR GROSDIDIER | — | 1447605886 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.