Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Evan Michael Busby, DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1588023816

Dr. Evan Michael Busby, DMD is a Maxillofacial Surgery in Jacksonville, Florida. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2016, 10 years ago. Practices with University of Florida Jacksonville Physicians, Inc, a 903-clinician group and accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying
10
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
FL, GA
In the registry since
2016
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

655 W 8th St
Jacksonville, FL 32209-6511
Phone: (713) 444-1612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence DN22674 (FL)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence DN122259 (GA)

Record details

NPI number1588023816
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedFebruary 15, 2016
Last updated in NPPESNovember 21, 2023
Certification dateNovember 21, 2023
Mailing address655 W 8th St, Jacksonville, FL 32209-6511

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2016 (10 years in practice)
Group practice University Of Florida Jacksonville Physicians, Inc. — 903 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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