| Edwards Everhart Dental | |
|
1192 Suncast Lane Suite 3 El Dorado Hills CA 95762 | |
| (916) 939-9912 | |
| (916) 939-9231 |
| Full Name | Edwards Everhart Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1192 Suncast Lane, El Dorado Hills, California |
| Authorized Official Name and Position | Ryan Everhart (CO-OWNER) |
| Authorized Official Contact | 9169399912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edwards Everhart Dental 1192 Suncast Lane Suite 3 El Dorado Hills CA 95762 Ph: (916) 939-9912 | Edwards Everhart Dental 1192 Suncast Lane Suite 3 El Dorado Hills CA 95762 Ph: (916) 939-9912 |
| NPI Number | 1588087597 |
|---|---|
| Provider Enumeration Date | 01/27/2014 |
| Last Update Date | 01/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588087597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 57768 (California) | Primary |
| 1223G0001X | Dentist - General Practice | 50068 (California) | Secondary |
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