Individual
DR. ANDREW COLIN EVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2500 NESCONSET HWY, BLDG 6-B, STONY BROOK, NY 11790-2555
(631) 689-3131
Mailing address
2500 NESCONSET HWY, BLDG 6-B, STONY BROOK, NY 11790-2555
(631) 689-3131
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
054294
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
054294
NY
Other
Enumeration date
05/11/2009
Last updated
04/08/2016
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