Provider Demographics
NPI:1750877809
Name:MCADOO, EVITA D (DDS)
Entity type:Individual
Prefix:DR
First Name:EVITA
Middle Name:D
Last Name:MCADOO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6950 NEXUS CT
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-2642
Mailing Address - Country:US
Mailing Address - Phone:910-528-1917
Mailing Address - Fax:
Practice Address - Street 1:6950 NEXUS CT
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-2642
Practice Address - Country:US
Practice Address - Phone:910-528-1917
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-02
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC113331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice