1. Home
  2. Directory
  3. Connecticut
  4. Southbury
  5. Dentist
  6. NPI Profile

SOUTHBURY SMILES
NPI 1336570357
Dentist - Prosthodontics in Southbury, CT

Active since December 01, 2013
2 POMPERAUG OFFICE PARK STE 304, SOUTHBURY, CT 06488(203) 264-1620 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southbury Smiles NPPES

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

SOUTHBURY SMILES (NPI 1336570357) is a healthcare organization registered as a prosthodontics in Southbury, Connecticut and active in the NPI registry since December 2013. The organization lists Michelle Na, Owner, as its authorized official.

NPPES Registry Identity

NPI1336570357
Entity TypeOrganization
Primary Taxonomy1223P0700X
Legal Business NameEVERGREEN PROSTHODONTIC ASSOCIATES, LLC
Location Address2 POMPERAUG OFFICE PARK STE 304Southbury, CT 06488-2288
Mailing Address2 Pomperaug Office Park Ste 304Southbury, CT 06488-2288 · (203) 264-1620
Phone(203) 264-1620
Organization SubpartYes
Authorized OfficialMichelle NaOwner · (203) 264-1620
Enumeration DateDecember 1, 2013
Last NPPES UpdateMarch 30, 2023
NPPES CertifiedMarch 29, 2023
✔ NPI 1336570357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
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.

2 POMPERAUG OFFICE PARK STE 304, Southbury, CT 06488
Open in Google Maps ↗

Other Names 1

Doing Business AsSouthbury Smiles

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

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 1336570357. It was assigned to this organization in the NPPES registry on December 1, 2013. The provider is doing business as Southbury Smiles.

Where is Evergreen Prosthodontic Associates, LLC located?

Evergreen Prosthodontic Associates, LLC is located at 2 Pomperaug Office Park Ste 304, Southbury, CT 06488. The listed phone number is (203) 264-1620.

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 with the weekly NPPES data releases published by CMS.