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NPI Code Detail

MEDICARE: DR. MARTIN E. EVERS JR. DDS, MS

MEDICARE: DR. MARTIN E. EVERS JR. DDS, MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry051003NY
21223X0008XOral and Maxillofacial Radiology Dentistry051003-1NY

General Provider Information

NPI Number : 1083691281
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARTIN E. EVERS JR. DDS, MS
Provider Business Mailing Address
First Line : PSC 808 BOX 19
Second Line :
City : FPO
State : AE
Zip : 09618-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : VIA CONTRADA BOSCARIELLO
Second Line :
City : GRICIGNANO DI AVERSA
State : CAMPANIA
Zip : 81030
Country : IT
Telephone Number : 314-629-6007
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2005
Last Update Date : 03/09/2026

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