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Provider Information for 1780931444

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. JOSEPH DYLAN EVERETT D.D.S.

Gender: MALE

Individual NPI: 1780931444

Calendar   Last Updated:  2018-09-18
  Certification Date: 

Details

Name Value
NPI 1780931444
Enumeration Date 2012-08-12
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 6123 79TH ST STE 100
LUBBOCK, TX 79424-8708
United States

Phone: 806-674-7609 | Fax: 806-686-1263
View Map External Link
Primary Practice Address 6123 79TH ST STE 100
LUBBOCK, TX 79424-8708
United States

Phone: 806-686-1262 | Fax:
View Map External Link
Secondary Practice Address 3302 GASTON AVE
DALLAS, TX 75246-2013
United States

Phone: 214-828-8146 | Fax:
View Map External Link

Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist TX 28022