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EVERGREEN FAMILY DENTISTRY BELLEVUE
NPI 1487592739
Dentist in Bellevue, WA

Active since March 24, 2026
15615 BEL RED RD STE D, BELLEVUE, WA 98008(425) 643-6072 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 Bellevue NPPES

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

EVERGREEN FAMILY DENTISTRY BELLEVUE (NPI 1487592739) is a healthcare organization registered as a dentist in Bellevue, Washington and active in the NPI registry since March 2026. The organization lists Robert Park, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1487592739
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameEVERGREEN FAMILY DENTISTRY BELLEVUE
Location Address15615 BEL RED RD STE DBellevue, WA 98008-2300
Mailing Address15615 Bel Red Rd Ste DBellevue, WA 98008-2300 · (425) 643-6072
Phone(425) 643-6072
Organization SubpartNo
Authorized OfficialRobert ParkOwner Dentist · (425) 643-6072
Enumeration DateMarch 24, 2026
NPPES CertifiedMarch 24, 2026
✔ NPI 1487592739 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.
15615 BEL RED RD STE D, Bellevue, WA 98008
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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

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 Bellevue's NPI number?

The NPI number for Evergreen Family Dentistry Bellevue is 1487592739. It was assigned to this organization in the NPPES registry on March 24, 2026.

Where is Evergreen Family Dentistry Bellevue located?

Evergreen Family Dentistry Bellevue is located at 15615 Bel Red Rd Ste D, Bellevue, WA 98008. The listed phone number is (425) 643-6072.

What is Evergreen Family Dentistry Bellevue'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 Bellevue 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.