Healthcare Provider Details

I. General information

NPI: 1306636386
Provider Name (Legal Business Name): MORGAN CURTIS EVANS DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2025
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1395 CENTER DR RM D1-30
GAINESVILLE FL
32610-3006
US

IV. Provider business mailing address

3600 SW 19TH AVE APT 26
GAINESVILLE FL
32607-4132
US

V. Phone/Fax

Practice location:
  • Phone: 352-273-5651
  • Fax:
Mailing address:
  • Phone: 352-229-3191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberDN30626
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: