- Practice location
- 109 Boston Post RD, Orange, CT 06477-3235
- Phone
- 203-298-0446
- Fax
- —
- Last updated
- October 19, 2011
Evergreen Dental LLC is a healthcare organization based in Orange, CT. Evergreen Dental LLC practices in Orange, CT. The NPI Number for Evergreen Dental LLC is 1730464470 and holds a License No. 010332 (CT). The current practice location address for Evergreen Dental LLC is 109 Boston Post RD, Orange, CT 06477-3235 and can be reached out via phone at 203-298-0446.
Provider Profile Details
- NPI Number
- 1730464470
- Provider Name
- Evergreen Dental LLC
- Provider Entity Type
- Organization
- Address
- 109 Boston Post RD, Orange, CT 06477-3235
- Phone Number
- 203-298-0446
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Vikas Goel, DDS · Owner · 203-298-0446
- Provider Enumeration Date
- October 13, 2011
- Last Update Date
- October 19, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 109 Boston Post RD
Orange, CT 06477-3235 - City
- Orange
- State
- Connecticut
- Zip
- 06477-3235
- Phone Number
- 203-298-0446
Provider Business Mailing Address Details
- Address
- 5213 Avalon Dr W
Orange, CT 06477-3677 - City
- Orange
- State
- CT
- Zip
- 06477-3677
- Phone Number
- 203-298-0466
License Information
- License Number
- 010332
- License State
- CT
- 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 Orange, CT
View all Dentists in Orange →Frequently Asked Questions
What is the NPI number of Evergreen Dental LLC?
The NPI number of Evergreen Dental LLC is 1730464470. It was assigned on October 13, 2011 and is currently active in the NPPES registry.
What is the specialty of Evergreen Dental LLC?
Evergreen Dental LLC is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 010332.
Where does Evergreen Dental LLC practice?
The practice location is 109 Boston Post RD, Orange, CT 06477-3235. The office can be reached at 203-298-0446 (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 1730464470 directly on the NPPES registry website.