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Contact Information

RANDY P EVERETT, DDS
604 J A DOOLEY WOMACK DRIVE
CAMDEN, AR71701
 Phone: 870-836-7314
 Fax: 870-836-0084
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for RANDY P EVERETT · (Male)

NPI # 1316015126
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/01/2006
Last updated 12/10/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • AR License # AR2250
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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