Provider Demographics
NPI:1548076862
Name:EVERSMILES, PLLC
Entity type:Organization
Organization Name:EVERSMILES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:FORD
Authorized Official - Last Name:EVERETT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:847-212-6130
Mailing Address - Street 1:840 WILLOW RD STE D
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-6823
Mailing Address - Country:US
Mailing Address - Phone:224-904-1380
Mailing Address - Fax:224-904-1390
Practice Address - Street 1:840 WILLOW RD STE D
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-6823
Practice Address - Country:US
Practice Address - Phone:224-904-1380
Practice Address - Fax:224-904-1390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty