Individual
DR. WILLIAM FRED EVERITT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
218 S THOMAS ST, SUITE 122, TUPELO, MS 38801-5330
(662) 690-5354
(662) 690-5360
Mailing address
218 S THOMAS ST, SUITE 122, TUPELO, MS 38801-5330
(662) 690-5354
(662) 690-5360
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1820-78 OS-32
MS
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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