Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EVERGREEN PROSTHODONTIC ASSOCIATES, LLC
Active OrganizationEVERGREEN PROSTHODONTIC ASSOCIATES, LLC is a Pediatric Dentistry organization located in SOUTHBURY, Connecticut. NPI 1336570357 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · SOUTHBURY, CT
Registration Details
- NPI Number
- 1336570357
- Provider Type
- Organization
- NPI Issued
- Dec 1, 2013 (12.729565656956 yrs)
- Last Updated
- Mar 30, 2023
Practice Information
- Address
-
2 POMPERAUG OFFICE PARK STE 304SOUTHBURY, CT, 064882288Browse CT providers · Browse ZIP 06488
- Phone
- 2032641620
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.