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EVERGREEN DENTAL ASSOCIATES LLC
NPI 1013121342
Dentist - General Practice in Augusta, ME

Active since May 09, 2007
281 WESTERN AVE, AUGUSTA, ME 04330(207) 622-0861 Get Directions Write a Review

NPPES record last updated: March 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evergreen Dental Associates Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERGREEN DENTAL ASSOCIATES LLC (NPI 1013121342) is a healthcare organization registered as a general practice in Augusta, Maine and active in the NPI registry since May 2007. The organization lists Mikki M Studley, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1013121342
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEVERGREEN DENTAL ASSOCIATES LLC
Location Address281 WESTERN AVEAugusta, ME 04330-4933
Mailing Address281 Western AveAugusta, ME 04330-4933 · (207) 622-0861
Phone(207) 622-0861
Organization SubpartNo
Authorized OfficialMikki M StudleyPractice Administrator · (207) 622-0861
Enumeration DateMay 9, 2007
Last NPPES UpdateMarch 13, 2012
✔ NPI 1013121342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in ME · 3692✔ Licensed in ME · 2482
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
281 WESTERN AVE, Augusta, ME 04330
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREA M TALIENTO D.M.D.
Dentist (General Practice)
281 WESTERN AVE
AUGUSTA, ME 04330
Kennebec County (207) 622-0861
AHMAD JAWAD DDS
Dentist (General Practice)
281 WESTERN AVE
AUGUSTA, ME 04330
Kennebec County (207) 622-0861
DR. PETER R SHUMWAY D.M.D.
Dentist (General Practice)
281 WESTERN AVE
AUGUSTA, ME 04330
Kennebec County (207) 622-0861
HEATHER S HARPER D.D.S.
Dentist (General Practice)
281 WESTERN AVE
AUGUSTA, ME 04330
Kennebec County (207) 622-0861
DR. BRUCE C KILGOUR D.M.D.
Dentist (General Practice)
281 WESTERN AVE
AUGUSTA, ME 04330
Kennebec County (207) 622-0861

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evergreen Dental Associates LLC's NPI number?

The NPI number for Evergreen Dental Associates LLC is 1013121342. It was assigned to this organization in the NPPES registry on May 9, 2007.

Where is Evergreen Dental Associates LLC located?

Evergreen Dental Associates LLC is located at 281 Western Ave, Augusta, ME 04330. The listed phone number is (207) 622-0861.

What is Evergreen Dental Associates LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Evergreen Dental Associates LLC was last updated on March 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.