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
Mailing address215 E 11th St, Newport, KY 41071-2203

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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