Individual provider · Type 1 NPI

Edward Bruce Sevetz Jr., DMD

Oral and Maxillofacial Surgery (Dentist) · Orange Park, FL

NPI number 1477518058 Active

Practice location

2140 Kingsley Ave, Suite # 7
Orange Park, FL 32073-5180

Fax (904) 272-4669

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X7960 (FL)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1477518058

Edward Bruce Sevetz Jr., DMD's National Provider Identifier is 1477518058, issued on Apr 18, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Orange Park, FL. The record was last updated on Jul 8, 2007.