institution
Evergreen Dental Pllc
Dental Clinic/Center in Eden Prairie, Minnesota
NPI 1699483941

Evergreen Dental Pllc is a Dental Clinic/Center based in Eden Prairie, MN and is specialized in Dental. Evergreen Dental Pllc practices in Eden Prairie, MN. The NPI Number for Evergreen Dental Pllc is 1699483941 and holds a License No. (Minnesota).

The current practice location address for Evergreen Dental Pllc is 7890 Mitchell Rd, Eden Prairie, MN and can be reached out via phone at 952-937-7677. You can also correspond with Evergreen Dental Pllc through the mailing address at 14347 GOLF VIEW DR, EDEN PRAIRIE, MN - 55346-3004 (mailing address contact number: 952-937-7677).

Location: 7890 Mitchell Rd, Eden Prairie, MN, 55346-3004
institution
Provider Profile Details
NPI Number
1699483941
Provider Name
Evergreen Dental Pllc
Credential
Provider Entity Type
Organization
Address
7890 Mitchell Rd, Eden Prairie, MN, 55346-3004
Phone Number
952-937-7677
Fax Number
Provider Enumeration Date
11/07/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1003256876 01 MN NPI
1144287962 01 MN NPI
institution
Provider Business Practice Location Address Details
Address
7890 Mitchell Rd
City
State
Zip
55344-2219
Phone Number
952-937-7677
Fax Number
person
Provider Business Mailing Address Details
Address
14347 Golf View Dr
City
State
Zip
55346-3004
Phone Number
952-937-7677
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
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