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

Evan Mast

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639707623

Evan Mast is a Student in an Organized Health Care Education/Training Program in Elizabeth, New Jersey. Works from 2 locations. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2020
Specialties on file
2

Practice location Address checks out

105 Elmora Ave
Elizabeth, NJ 07202-1614
Phone: (908) 402-0878
Show map & directions

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

Additional practice locations (1)

  • 1 Bay Ave, Montclair, NJ 07042-4837 — (973) 429-6000

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 22DI02819700 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1639707623
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 27, 2020
Last updated in NPPESJuly 12, 2021
Certification dateJuly 12, 2021
Mailing address302 Foxwood Rd, Union, NJ 07083-7941

Other providers in Elizabeth