EVERGREEN DENTURE CENTER
NPI 1184051054
Denturist in Vancouver, WA

Active since October 08, 2013
13720 NE 28TH ST, VANCOUVER, WA 98682(360) 256-4656(360) 256-2829 Get Directions Write a Review

NPPES record last updated: October 8, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evergreen Denture Center NPPES

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

EVERGREEN DENTURE CENTER (NPI 1184051054) is a healthcare organization registered as a denturist in Vancouver, Washington and active in the NPI registry since October 2013. The organization lists Vadim Zalyashko, Denturist, as its authorized official.

NPPES Registry Identity

NPI1184051054
Entity TypeOrganization
Primary Taxonomy122400000X
Legal Business NameEVERGREEN DENTURE CENTER
Location Address13720 NE 28TH STVancouver, WA 98682-8289
Mailing Address13720 Ne 28th StVancouver, WA 98682-8289 · (360) 256-4656 · Fax (360) 256-2829
Fax(360) 256-2829
Organization SubpartNo
Authorized OfficialVadim ZalyashkoDenturist · (360) 256-4656
Enumeration DateOctober 8, 2013
NPI 1184051054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDenturistDental Providers
Taxonomy Code122400000X
Definition
A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.
13720 NE 28TH ST, Vancouver, WA 98682

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 2

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

Dentist
13720 NE 28TH ST, SUITE A
VANCOUVER, WA 98682
Denturist
13720 NE 28TH ST, #B
VANCOUVER, WA 98682

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 Denture Center's NPI number?

The NPI number for Evergreen Denture Center is 1184051054. It was assigned to this organization in the NPPES registry on October 8, 2013.

Where is Evergreen Denture Center located?

Evergreen Denture Center is located at 13720 NE 28th St, Vancouver, WA 98682. The listed phone number is (360) 256-4656.

What is Evergreen Denture Center's specialty?

The primary specialty registered for this NPI is Denturist with taxonomy code 122400000X.

When was this NPI record last updated?

The NPPES record for Evergreen Denture Center was last updated on October 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.