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EVERGREEN DENTAL PA
NPI 1649703216
Dentist in Woodbury, NJ

Active since April 10, 2017
549 S EVERGREEN AVE, WOODBURY, NJ 08097(609) 226-6489 Get Directions Write a Review

NPPES record last updated: April 10, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Evergreen Dental Pa NPPES

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

EVERGREEN DENTAL PA (NPI 1649703216) is a healthcare organization registered as a dentist in Woodbury, New Jersey and active in the NPI registry since April 2017. The organization lists Richard Ruden, Owner, as its authorized official.

NPPES Registry Identity

NPI1649703216
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameEVERGREEN DENTAL PA
Location Address549 S EVERGREEN AVEWoodbury, NJ 08097-1004
Mailing Address549 S Evergreen AveWoodbury, NJ 08097-1004 · (609) 226-6489
Phone(609) 226-6489
Organization SubpartNo
Authorized OfficialRichard RudenOwner · (609) 226-6489
Enumeration DateApril 10, 2017
✔ NPI 1649703216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NJ · 22DI01430100
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.
549 S EVERGREEN AVE, Woodbury, NJ 08097
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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 Dental PA's NPI number?

The NPI number for Evergreen Dental PA is 1649703216. It was assigned to this organization in the NPPES registry on April 10, 2017.

Where is Evergreen Dental PA located?

Evergreen Dental PA is located at 549 S Evergreen Ave, Woodbury, NJ 08097. The listed phone number is (609) 226-6489.

What is Evergreen Dental PA'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 PA was last updated on April 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.