Provider Demographics
NPI:1629274121
Name:EVERETT, RHONDA J (DDS)
Entity Type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:J
Last Name:EVERETT
Suffix:
Gender:F
Credentials:DDS
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Other - Credentials:
Mailing Address - Street 1:5001 EL PASO DR., MSC 24001
Mailing Address - Street 2:HUNT SCHOOL OF DENTAL MEDICINE 3RD FLOO
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79905
Mailing Address - Country:US
Mailing Address - Phone:702-774-2816
Mailing Address - Fax:702-774-2811
Practice Address - Street 1:5001 EL PASO DR., MSC 24001
Practice Address - Street 2:HUNT SCHOOL OF DENTAL MEDICINE 3RD FLOO
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-7990
Practice Address - Country:US
Practice Address - Phone:915-215-4365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-22
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NVLL13906122300000X
TX37457122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist