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EVERGREEN FAMILY DENTISTRY
NPI 1124966544
Dentist in Monroe, WA

Active since March 24, 2026
17798 147TH ST SE, MONROE, WA 98272(360) 805-0211 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evergreen Family Dentistry NPPES

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

EVERGREEN FAMILY DENTISTRY (NPI 1124966544) is a healthcare organization registered as a dentist in Monroe, Washington and active in the NPI registry since March 2026. The organization lists Robert Park, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1124966544
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameEVERGREEN FAMILY DENTISTRY
Location Address17798 147TH ST SEMonroe, WA 98272-1030
Mailing Address17798 147th St SeMonroe, WA 98272-1030 · (360) 805-0211
Phone(360) 805-0211
Organization SubpartNo
Authorized OfficialRobert ParkOwner Dentist · (360) 805-0211
Enumeration DateMarch 24, 2026
NPPES CertifiedMarch 24, 2026
✔ NPI 1124966544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
17798 147TH ST SE, Monroe, WA 98272
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

EVERGREEN FAMILY DENTISTRY, INC.
Durable Medical Equipment & Medical Supplies
17798 147TH ST SE
MONROE, WA 98272
Snohomish County (360) 805-0211
DR. ROBERT K PARK D.D.S.
Dentist (General Practice)
17798 147TH ST SE
MONROE, WA 98272
Snohomish County (360) 605-0211
EVERGREEN FAMILY DENTISTRY
Dentist
17798 147TH ST SE
MONROE, WA 98272
Snohomish County (360) 805-0211

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 Family Dentistry's NPI number?

The NPI number for Evergreen Family Dentistry is 1124966544. It was assigned to this organization in the NPPES registry on March 24, 2026.

Where is Evergreen Family Dentistry located?

Evergreen Family Dentistry is located at 17798 147th St SE, Monroe, WA 98272. The listed phone number is (360) 805-0211.

What is Evergreen Family Dentistry's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Evergreen Family Dentistry was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.