Organization
KORI & EVERHARTADVANCED DENTISTRY, SCOTT M. EVERHART DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT M. EVERHART DDS (PRESIDENT)
(614) 579-6134
Entity
Organization
Contact information
Practice address
401 MIAMISBURG CENTERVILLE RD, CENTERVILLE, OH 45459-4753
(937) 435-5073
(937) 435-5215
Mailing address
401 MIAMISBURG CENTERVILLE RD, CENTERVILLE, OH 45459-4753
(937) 435-5073
(937) 435-5215
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20908
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2205161
—
OH
05
—
2371866
—
OH
Enumeration date
02/08/2011
Last updated
12/03/2015
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