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Individual

ADAM EVERHART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
2005 KNIGHT LANE BLDG H, NAVY MEDICINE SUPPORT COMMAND, JACKSONVILLE, FL 32212-0140
(904) 542-7200
Mailing address
2005 KNIGHT LANE BLDG H, NAVY MEDICINE SUPPORT COMMAND, JACKSONVILLE, FL 32212-0140
(904) 542-7200

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011667A
IN

Other

Enumeration date
07/06/2011
Last updated
07/06/2011
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