Individual
DR. JOHN ANDREW FAWCETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
214 JERSEY ST, SILVERTON, OR 97381-1627
(503) 566-7000
Mailing address
33301 S DRYLAND RD, MOLALLA, OR 97038-9538
(503) 930-4587
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11350
OR
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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