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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EVERGREEN DENTAL GROUP, LLC

Active Organization

EVERGREEN DENTAL GROUP, LLC is a General Dentistry organization located in SOUTH WINDSOR, Connecticut. NPI 1457641136 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · SOUTH WINDSOR, CT

Registration Details

NPI Number
1457641136
Provider Type
Organization
NPI Issued
Apr 14, 2011 (15.346087131909 yrs)
Last Updated
Apr 14, 2011
Licenses
010241 (CT)
010004 (CT)
010110 (CT)

Practice Information

Address
34 EVERGREEN WAY
SOUTH WINDSOR, CT, 060746976
Browse CT providers · Browse ZIP 06074
Phone
9174534055
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
Pediatric Dentistry
Additional Specialty
General Dentistry

Other General Dentistry Organizations in SOUTH WINDSOR, CT

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.