Individual provider · Type 1 NPI

Evan Michael Busby, DMD

Oral and Maxillofacial Surgery (Dentist) · Jacksonville, FL

NPI number 1588023816 Active

Practice location

655 W 8th St
Jacksonville, FL 32209-6511

Call (713) 444-1612 Map

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112XDN122259 (GA)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDN22674 (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 1588023816

Evan Michael Busby, DMD's National Provider Identifier is 1588023816, issued on Feb 15, 2016. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 21, 2023.