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

Evan Shipp

Individual provider General Practice Dentistry · NPI 1023378999

Evan Shipp is a General Practice Dentistry in Jbsa Lackland, Texas. Practices as a sole proprietor and works from 2 locations. Licensed in California and Texas.

Licensed in
CA, TX
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638
Phone: (512) 621-5529
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 — (210) 916-0332

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 35986 (TX)
General Practice Dentistry Taxonomy 1223G0001X · Licence 61852 (CA)

Record details

NPI number1023378999
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 24, 2012
Last updated in NPPESJuly 22, 2020
Certification dateJuly 22, 2020
Mailing address1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638

Other providers in Jbsa Lackland