EVERGREEN DENTAL CORPORATION
NPI 1235177734
Dentist - General Practice in Everett, WA

Active since June 04, 2006
10315 19TH AVE SE, STE 102, EVERETT, WA 98208(425) 385-3170(425) 385-3907 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Evergreen Dental Corporation NPPES

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

EVERGREEN DENTAL CORPORATION (NPI 1235177734) is a healthcare organization registered as a general practice in Everett, Washington and active in the NPI registry since June 2006. The organization lists T. Kevin Dang, President, as its authorized official.

NPPES Registry Identity

NPI1235177734
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEVERGREEN DENTAL CORPORATION
Location Address10315 19TH AVE SE, STE 102Everett, WA 98208-4259
Mailing Address10315 19th Ave Se, Ste 102Everett, WA 98208-4259 · (425) 385-3170 · Fax (425) 385-3907
Fax(425) 385-3907
Organization SubpartNo
Authorized OfficialT. Kevin DangPresident · (425) 385-3170
Enumeration DateJune 4, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1235177734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
10315 19TH AVE SE, Everett, WA 98208

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

Accepted Insurance

Other Providers at the Same Location NPPES 9

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

Dentist (General Practice)
10315 19TH AVE SE, SUITE 110
EVERETT, WA 98208
Psychiatry & Neurology (Neurology)
10315 19TH AVE SE, STE 112
EVERETT, WA 98208
Chiropractor (Sports Physician)
10315 19TH AVE SE, SUITE 106
EVERETT, WA 98208
Massage Therapist
10315 19TH AVE SE, SUITE 106
EVERETT, WA 98208
Naturopath
10315 19TH AVE SE
EVERETT, WA 98208
Chiropractor
10315 19TH AVE SE, SUITE 106
EVERETT, WA 98208
Psychiatry & Neurology (Neurology)
10315 19TH AVE SE, BUILDING B, SUITE 112
EVERETT, WA 98208
Chiropractor
10315 19TH AVE SE, SUITE 106
EVERETT, WA 98208

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 Corporation's NPI number?

The NPI number for Evergreen Dental Corporation is 1235177734. It was assigned to this organization in the NPPES registry on June 4, 2006.

Where is Evergreen Dental Corporation located?

Evergreen Dental Corporation is located at 10315 19th Ave SE Ste 102, Everett, WA 98208. The listed phone number is (425) 385-3170.

What is Evergreen Dental Corporation's specialty?

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

What insurance does Evergreen Dental Corporation accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Evergreen Dental Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evergreen Dental Corporation was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.