1. Home
  2. Directory
  3. Ohio
  4. Englewood
  5. Dentist
  6. NPI Profile

EVERGREEN DENTAL ENGLEWOOD LLC
NPI 1700683711
Dentist in Englewood, OH

Active since February 26, 2025
625 W NATIONAL RD STE B, ENGLEWOOD, OH 45322(937) 836-7911 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evergreen Dental Englewood Llc NPPES

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

EVERGREEN DENTAL ENGLEWOOD LLC (NPI 1700683711) is a healthcare organization registered as a dentist in Englewood, Ohio and active in the NPI registry since February 2025. The organization lists Sabrina Chiu, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1700683711
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameEVERGREEN DENTAL ENGLEWOOD LLC
Location Address625 W NATIONAL RD STE BEnglewood, OH 45322-1162
Mailing AddressPo Box 17419Sugar Land, TX 77496-7419
Phone(937) 836-7911
Organization SubpartNo
Authorized OfficialSabrina ChiuCredentialing Coordinator · (740) 580-2000
Enumeration DateFebruary 26, 2025
NPPES CertifiedFebruary 26, 2025
✔ NPI 1700683711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
625 W NATIONAL RD STE B, Englewood, OH 45322
Open in Google Maps ↗

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

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 Englewood LLC's NPI number?

The NPI number for Evergreen Dental Englewood LLC is 1700683711. It was assigned to this organization in the NPPES registry on February 26, 2025.

Where is Evergreen Dental Englewood LLC located?

Evergreen Dental Englewood LLC is located at 625 W National Rd Ste B, Englewood, OH 45322. The listed phone number is (937) 836-7911.

What is Evergreen Dental Englewood LLC'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 Englewood LLC was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.