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EVERGREEN SMILES DENTAL
NPI 1649058728
Clinic/Center - Dental in Evergreen Park, IL

Active since September 19, 2023
9541 S PULASKI RD, EVERGREEN PARK, IL 60805(708) 424-2220 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Dental

About EVERGREEN SMILES DENTAL

This page provides the complete NPI Profile along with additional information for Evergreen Smiles Dental, a provider established in Evergreen Park, Illinois operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1649058728 assigned on September 2023. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Rohi Atassi Dds (Managing Partner)

NPI
1649058728 Verify this NPI
Provider Name
EVERGREEN SMILES DENTAL
Entity Type
Organization
Location Address
9541 S PULASKI RD EVERGREEN PARK, IL 60805
Location Phone
(708) 424-2220
Mailing Address
9541 S PULASKI RD EVERGREEN PARK, IL 60805
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-19-2023
Last Update Date
09-19-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROHI ATASSI DDS

Authorized Official Title
MANAGING PARTNER
Authorized Official Phone
(312) 622-4406

Reviews for EVERGREEN SMILES DENTAL

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Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

ROBERT J MICHET D.D.S.
Dentist (General Practice)
9541 S PULASKI RD
EVERGREEN PARK, IL 60805
Cook County (708) 424-2220
DR. LAWRENCE THOMAS MICHET JR. D.D.S.
Dentist (General Practice)
9541 S PULASKI RD
EVERGREEN PARK, IL 60805
Cook County (708) 424-2220
MICHET DENTAL OFFICES P.C.
Dentist (General Practice)
9541 S PULASKI RD
EVERGREEN PARK, IL 60805
Cook County (708) 424-2220
DR. MARILYN RITA MICHET DDS
Dentist (General Practice)
9541 S PULASKI RD
EVERGREEN PARK, IL 60805
Cook County (708) 424-2220
ANNE M CORSO
Dentist (General Practice)
9541 S PULASKI RD
EVERGREEN PARK, IL 60805
Cook County (708) 424-2220
DR. TULSI PATEL DDS
Dentist
9541 S PULASKI RD
EVERGREEN PARK, IL 60805
Cook County (708) 424-2220

Frequently Asked Questions

What is EVERGREEN SMILES DENTAL's NPI number?

The NPI number assigned to this healthcare provider is 1649058728, enumerated as an "organization" on September 19, 2023.

Where is the provider located?

The provider is located at 9541 S PULASKI RD EVERGREEN PARK, IL 60805 and the phone number is (708) 424-2220.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.