EVERGREEN FAMILY DENTAL
NPI 1306277892
Dentist - Prosthodontics in Fairfield, CT

Active since December 09, 2013
1300 POST RD, SUITE 101, FAIRFIELD, CT 06824(203) 259-7870 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evergreen Family Dental NPPES

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

EVERGREEN FAMILY DENTAL (NPI 1306277892) is a healthcare organization registered as a prosthodontics in Fairfield, Connecticut and active in the NPI registry since December 2013. The organization lists Minsung Yoon, Owner, as its authorized official.

NPPES Registry Identity

NPI1306277892
Entity TypeOrganization
Primary Taxonomy1223P0700X
Legal Business NameEVERGREEN PROSTHODONTIC ASSOCIATES, LLC
Location Address1300 POST RD, SUITE 101Fairfield, CT 06824-6038
Mailing Address1300 Post Rd, Suite 101Fairfield, CT 06824-6038 · (203) 259-7870
Organization SubpartYesParent: Evergreen Prosrthodontic Associates, Llc
Authorized OfficialMinsung YoonOwner · (203) 259-7870
Enumeration DateDecember 9, 2013
Last NPPES UpdateMarch 30, 2023
NPPES CertifiedMarch 30, 2023
NPI 1306277892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
Licenses Licensed in CT · 9601 Licensed in CT · 9863
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
1300 POST RD, Fairfield, CT 06824

Other Names 1

Doing Business AsEvergreen Family Dental

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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 20

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

Internal Medicine
1300 POST RD, SUITE 202
FAIRFIELD, CT 06824
Internal Medicine
1300 POST RD, SUITE 202
FAIRFIELD, CT 06824
Physical Therapist (Pediatrics)
1300 POST RD, SUITE 204
FAIRFIELD, CT 06824
Speech-Language Pathologist
1300 POST RD, SUITE 204
FAIRFIELD, CT 06824
Occupational Therapist (Pediatrics)
1300 POST RD, SUITE 204
FAIRFIELD, CT 06824
Occupational Therapist (Pediatrics)
1300 POST RD, SUITE 204
FAIRFIELD, CT 06824
Internal Medicine
1300 POST RD, SUITE 202
FAIRFIELD, CT 06824
Occupational Therapist (Pediatrics)
1300 POST RD, SUITE 204
FAIRFIELD, CT 06824

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 Prosthodontic Associates, LLC's NPI number?

The NPI number for Evergreen Prosthodontic Associates, LLC is 1306277892. It was assigned to this organization in the NPPES registry on December 9, 2013. The provider is doing business as Evergreen Family Dental.

Where is Evergreen Prosthodontic Associates, LLC located?

Evergreen Prosthodontic Associates, LLC is located at 1300 Post Rd Suite 101, Fairfield, CT 06824. The listed phone number is (203) 259-7870.

What is Evergreen Prosthodontic Associates, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Evergreen Prosthodontic Associates, LLC was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.