Robert, Duane Everett

Robert, Duane Everett is an sole proprietor health care provider with primary practice located at 618 E Carter Ave , Blackshear GA 31516-1559. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Robert, Duane Everett can be contacted via phone (912) 449-4102.

Contact Information

Primary practice address
618 E Carter Ave Blackshear GA 31516-1559
Fax: (912) 449-0549
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN009374 Georgia

Profile Details

NPI number 1407062896
LBN Legal business name Robert, Duane Everett
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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