Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

De Andre Evans

Individual provider General Practice Dentistry · NPI 1063372365

De Andre Evans is a Dentist in Newport, Kentucky. Graduated from Ohio State University College of Dentistry in 2025, 1 year ago. Licensed in Kentucky.

Years since qualifying
1
Trained at
Ohio State University College of Dentistry
Licensed in
KY
In the registry since
2025

Practice location Address checks out

215 E 11th St
Newport, KY 41071-2203
Phone: (859) 655-6100
Fax: (859) 655-6186
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D-00097 (KY)

Record details

NPI number1063372365
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 18, 2025
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF DENTISTRY
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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