- Practice location
- 549 S Evergreen Ave, Woodbury, NJ 08097-1004
- Phone
- 609-226-6489
- Fax
- —
- Last updated
- April 10, 2017
Evergreen Dental PA is a healthcare organization based in Woodbury, NJ. Evergreen Dental PA practices in Woodbury, NJ. The NPI Number for Evergreen Dental PA is 1649703216 and holds a License No. 22DI01430100 (NJ). The current practice location address for Evergreen Dental PA is 549 S Evergreen Ave, Woodbury, NJ 08097-1004 and can be reached out via phone at 609-226-6489.
Provider Profile Details
- NPI Number
- 1649703216
- Provider Name
- Evergreen Dental PA
- Provider Entity Type
- Organization
- Address
- 549 S Evergreen Ave, Woodbury, NJ 08097-1004
- Phone Number
- 609-226-6489
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Richard Ruden, DMD · Owner · 609-226-6489
- Provider Enumeration Date
- April 10, 2017
- Last Update Date
- April 10, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 549 S Evergreen Ave
Woodbury, NJ 08097-1004 - City
- Woodbury
- State
- New Jersey
- Zip
- 08097-1004
- Phone Number
- 609-226-6489
Provider Business Mailing Address Details
- Address
- 549 S Evergreen Ave
Woodbury, NJ 08097-1004 - City
- Woodbury
- State
- NJ
- Zip
- 08097-1004
- Phone Number
- 609-226-6489
License Information
- License Number
- 22DI01430100
- License State
- NJ
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Woodbury, NJ
View all Dentists in Woodbury →Frequently Asked Questions
What is the NPI number of Evergreen Dental PA?
The NPI number of Evergreen Dental PA is 1649703216. It was assigned on April 10, 2017 and is currently active in the NPPES registry.
What is the specialty of Evergreen Dental PA?
Evergreen Dental PA is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI01430100.
Where does Evergreen Dental PA practice?
The practice location is 549 S Evergreen Ave, Woodbury, NJ 08097-1004. The office can be reached at 609-226-6489 (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 1649703216 directly on the NPPES registry website.