- Practice location
- 281 Western Ave, Augusta, ME 04330-4933
- Phone
- 207-622-0861
- Fax
- —
- Last updated
- March 13, 2012
Evergreen Dental Associates LLC is a healthcare organization based in Augusta, ME. Evergreen Dental Associates LLC practices in Augusta, ME. The NPI Number for Evergreen Dental Associates LLC is 1013121342 and holds a License No. 2482 (ME). The current practice location address for Evergreen Dental Associates LLC is 281 Western Ave, Augusta, ME 04330-4933 and can be reached out via phone at 207-622-0861.
Provider Profile Details
- NPI Number
- 1013121342
- Provider Name
- Evergreen Dental Associates LLC
- Provider Entity Type
- Organization
- Address
- 281 Western Ave, Augusta, ME 04330-4933
- Phone Number
- 207-622-0861
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Mrs. Mikki M Studley · Practice Administrator · 207-622-0861
- Provider Enumeration Date
- May 9, 2007
- Last Update Date
- March 13, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 281 Western Ave
Augusta, ME 04330-4933 - City
- Augusta
- State
- Maine
- Zip
- 04330-4933
- Phone Number
- 207-622-0861
Provider Business Mailing Address Details
- Address
- 281 Western Ave
Augusta, ME 04330-4933 - City
- Augusta
- State
- ME
- Zip
- 04330-4933
- Phone Number
- 207-622-0861
License Information
- License Number (1)
- 2482
- License State (1)
- ME
- Taxonomy (1)
- Dentist, General Practice · 1223G0001X
- License Number (2)
- 3692
- License State (2)
- ME
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Augusta, ME
View all Dentist, General Practice providers in Augusta →- David S. GrodyDentist, General Practice · NPI 1609048842
- Den Dent Al. LLCDentist, General Practice · NPI 1770025694
- Dr. Jenna M Fongemie, DMDDentist, General Practice · NPI 1235860545
- Dr. Maegan E Beinoras, DDSDentist, General Practice · NPI 1114389343
- Dr. Raymond S Cunningham, DDSDentist, General Practice · NPI 1306108295
- Dr. Stephen M Desrosiers, DMDDentist, General Practice · NPI 1073602926
Frequently Asked Questions
What is the NPI number of Evergreen Dental Associates LLC?
The NPI number of Evergreen Dental Associates LLC is 1013121342. It was assigned on May 9, 2007 and is currently active in the NPPES registry.
What is the specialty of Evergreen Dental Associates LLC?
Evergreen Dental Associates LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in ME under license number 2482.
Where does Evergreen Dental Associates LLC practice?
The practice location is 281 Western Ave, Augusta, ME 04330-4933. The office can be reached at 207-622-0861 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013121342 directly on the NPPES registry website.