Individual
DR. THOMAS FORD EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
FAMILY ORTHODONTIC SPECIALISTS, 14344 BURNHAVEN DR, BURNSVILLE, MN 55306-5306
(952) 435-6213
Mailing address
FAMILY ORTHODONTICS SPECIALISTS, 6601 LYNDALE AVE S #220, RICHFIELD, MN 55423-5423
(612) 861-9141
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
S15
MN
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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