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FORT DEPOSIT DENTAL CENTER
NPI 1518155373
Dentist in Fort Deposit, AL

Active since October 05, 2007
119 OLD FORT ROAD, SUITE B, FORT DEPOSIT, AL 36032(334) 227-4000(334) 227-3770 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fort Deposit Dental Center NPPES

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

FORT DEPOSIT DENTAL CENTER (NPI 1518155373) is a healthcare organization registered as a dentist in Fort Deposit, Alabama and active in the NPI registry since October 2007. The organization lists Robert P Louis, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1518155373
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameEVERGREEN DENTAL CENTER
Location Address119 OLD FORT ROAD, SUITE BFort Deposit, AL 36032
Mailing AddressPo Box 266, 100 Edwina StreetEvergreen, AL 36401-0266 · (251) 578-3331 · Fax (251) 578-5277
Phone(334) 227-4000
Fax(334) 227-3770
Organization SubpartYes
Authorized OfficialRobert P LouisExecutive Director · (251) 578-3331
Enumeration DateOctober 5, 2007
Last NPPES UpdateJune 17, 2008
✔ NPI 1518155373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AL · DD5370-C
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.
119 OLD FORT ROAD, Fort Deposit, AL 36032
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Other Names 1

Doing Business AsFort Deposit Dental Center

Other Identifiers 2

Medicaid009910742AL
Medicaid009995725AL

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 Dental Center's NPI number?

The NPI number for Evergreen Dental Center is 1518155373. It was assigned to this organization in the NPPES registry on October 5, 2007. The provider is doing business as Fort Deposit Dental Center.

Where is Evergreen Dental Center located?

Evergreen Dental Center is located at 119 Old Fort Road Suite B, Fort Deposit, AL 36032. The listed phone number is (334) 227-4000.

What is Evergreen Dental Center'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 Dental Center was last updated on June 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.