- Practice location
- 790 Boston RD Unit 205, Billerica, MA 01821-5938
- Phone
- 404-932-8875
- Fax
- —
- Last updated
- February 7, 2014
Evergreen Dental LLC is a healthcare organization based in Billerica, MA. Evergreen Dental LLC practices in Billerica, MA. The NPI Number for Evergreen Dental LLC is 1831513126 and holds a License No. DN1855668 (MA). The current practice location address for Evergreen Dental LLC is 790 Boston RD Unit 205, Billerica, MA 01821-5938 and can be reached out via phone at 404-932-8875.
Provider Profile Details
- NPI Number
- 1831513126
- Provider Name
- Evergreen Dental LLC
- Provider Entity Type
- Organization
- Address
- 790 Boston RD Unit 205, Billerica, MA 01821-5938
- Phone Number
- 404-932-8875
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Jangwon Huh · President · 404-932-8875
- Provider Enumeration Date
- February 7, 2014
- Last Update Date
- February 7, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 790 Boston RD Unit 205
Billerica, MA 01821-5938 - City
- Billerica
- State
- Massachusetts
- Zip
- 01821-5938
- Phone Number
- 404-932-8875
Provider Business Mailing Address Details
- Address
- 790 Boston RD Unit 205
Billerica, MA 01821-5938 - City
- Billerica
- State
- MA
- Zip
- 01821-5938
License Information
- License Number
- DN1855668
- License State
- MA
- 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 Billerica, MA
View all Dentists in Billerica →Frequently Asked Questions
What is the NPI number of Evergreen Dental LLC?
The NPI number of Evergreen Dental LLC is 1831513126. It was assigned on February 7, 2014 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 MA under license number DN1855668.
Where does Evergreen Dental LLC practice?
The practice location is 790 Boston RD Unit 205, Billerica, MA 01821-5938. The office can be reached at 404-932-8875 (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 1831513126 directly on the NPPES registry website.