Individual
DR. EVAN MICHAEL BUSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(713) 444-1612
Mailing address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(713) 444-1612
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN122259
GA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN22674
FL
Other
Enumeration date
02/15/2016
Last updated
11/21/2023
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