Organization
DR. RANDY P. EVERETT, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAIL WOLFE (OFFICE MANAGER)
(870) 836-7314
Entity
Organization
Contact information
Practice address
604 J A DOOLEY WOMACK DR, CAMDEN, AR 71701-2730
(870) 836-7314
(870) 836-0084
Mailing address
604 J A DOOLEY WOMACK DR, CAMDEN, AR 71701-2730
(870) 836-7314
(870) 836-0084
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1191056089
—
AR
Enumeration date
12/10/2020
Last updated
12/10/2020
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