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

Jake L Evans

Individual provider Dentist · NPI 1174018436

Jake L Evans is a Dentist in Leesburg, Georgia. Licensed in Georgia. Registered with an NPI since 2018.

Licensed in
GA
In the registry since
2018

Practice location Address checks out

138 Oakland Pkwy
Leesburg, GA 31763-7200
Phone: (229) 432-2213
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN1015660 (GA)

Record details

NPI number1174018436
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 28, 2018
Last updated in NPPESJune 28, 2018
Mailing address183 Mirror Lake Rd, Fitzgerald, GA 31750-6160

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