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
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 7960 (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.