1. Home
  2. Directory
  3. North Dakota
  4. Fargo
  5. Dentist
  6. NPI Profile

EVERGREEN DENTAL
NPI 1659399517
Dentist - General Practice in Fargo, ND

Active since July 18, 2006
1213 19TH AVE N, FARGO, ND 58102(701) 237-6307 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Evergreen Dental NPPES

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

EVERGREEN DENTAL (NPI 1659399517) is a healthcare organization registered as a general practice in Fargo, North Dakota and active in the NPI registry since July 2006. The organization lists Casey Dean Fines, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1659399517
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameHEARTLAND DENTAL
Location Address1213 19TH AVE NFargo, ND 58102-2242
Mailing Address1213 19th Ave NFargo, ND 58102-2242 · (701) 237-6307
Phone(701) 237-6307
Organization SubpartNo
Authorized OfficialCasey Dean FinesOwner/dentist · (701) 237-6307
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1659399517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ND · 1949
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1213 19TH AVE N, Fargo, ND 58102
Open in Google Maps ↗

Other Names 1

Doing Business AsEvergreen Dental

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 MULTIPLE 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 Heartland Dental's NPI number?

The NPI number for Heartland Dental is 1659399517. It was assigned to this organization in the NPPES registry on July 18, 2006. The provider is doing business as Evergreen Dental.

Where is Heartland Dental located?

Heartland Dental is located at 1213 19th Ave N, Fargo, ND 58102. The listed phone number is (701) 237-6307.

What is Heartland Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Heartland Dental was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.