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EVERGREEN DENTAL CENTER
NPI 1629328638
Durable Medical Equipment & Medical Supplies - Customized Equipment in Tacoma, WA

Active since September 17, 2012
5225 TACOMA MALL BLVD, SUITE E-104, TACOMA, WA 98409(253) 474-3223(253) 473-6762 Get Directions Write a Review

NPPES record last updated: February 14, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evergreen Dental Center NPPES

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

EVERGREEN DENTAL CENTER (NPI 1629328638) is a healthcare organization registered as a customized equipment in Tacoma, Washington and active in the NPI registry since September 2012. The organization lists Steven P Marinkovich, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1629328638
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameSTEVEN P MARINKOVICH DDS
Location Address5225 TACOMA MALL BLVD, SUITE E-104Tacoma, WA 98409-7018
Mailing Address5225 Tacoma Mall Blvd, Suite E-104Tacoma, WA 98409-7018 · (253) 474-3223 · Fax (253) 473-6762
Phone(253) 474-3223
Fax(253) 473-6762
Organization SubpartNo
Authorized OfficialSteven P MarinkovichOwner/doctor · (253) 474-3223
Enumeration DateSeptember 17, 2012
Last NPPES UpdateFebruary 14, 2014
✔ NPI 1629328638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
License✔ Licensed in WA · DE00004767
Also ListedDentist · General PracticeTaxonomy 1223G0001X
5225 TACOMA MALL BLVD, Tacoma, WA 98409
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Other Names 1

Other NameEvergreen Dental Center

Group Practice 1

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

Other Providers at the Same Location NPPES 2

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

DR. STEVEN PETER MARINKOVICH DDS
Dentist
5225 TACOMA MALL BLVD, SUITE E 104
TACOMA, WA 98409
Pierce County (253) 474-3223
BROUGHTON DUNN PLLC
Durable Medical Equipment & Medical Supplies (Customized Equipment)
5225 TACOMA MALL BLVD, SUITE E104
TACOMA, WA 98409
Pierce County (253) 474-3223

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 Steven P Marinkovich Dds's NPI number?

The NPI number for Steven P Marinkovich Dds is 1629328638. It was assigned to this organization in the NPPES registry on September 17, 2012. The provider is also known as Evergreen Dental Center.

Where is Steven P Marinkovich Dds located?

Steven P Marinkovich Dds is located at 5225 Tacoma Mall Blvd Suite E-104, Tacoma, WA 98409. The listed phone number is (253) 474-3223.

What is Steven P Marinkovich Dds's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

When was this NPI record last updated?

The NPPES record for Steven P Marinkovich Dds was last updated on February 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.