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

Evan Jansen, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568166908

Evan Jansen, DMD is a Student in an Organized Health Care Education/Training Program in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2023.

Licensed in
RI
In the registry since
2023
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-7195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence LD00212 (RI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1568166908
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMarch 29, 2023
Last updated in NPPESJune 23, 2023
Certification dateJune 23, 2023
Mailing address593 Eddy St, Providence, RI 02903-4923

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