Evan McVicker
Dentist in Palatka, FL. Individual provider (NPI-1).
NPI number1265327704
StatusActive
Last updated in NPPESJun 12, 2025
Details
- NPI
- 1265327704
- Entity type
- Individual (NPI-1)
- Name
- Evan McVicker
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2025
- Certification date
- Jun 12, 2025
- Last updated
- Jun 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 30458 | FL | Yes |
Practice location
205 Zeagler Dr Ste 502Palatka, FL 32177-3887
Phone 386-328-1500
Mailing address
205 Zeagler Dr Ste 502Palatka, FL 32177-3887
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All 7 Dentist providers in Palatka · All 706 providers in Palatka
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