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EVERGRIN LLC
NPI 1720495195
Dentist - General Practice in Philadelphia, PA

Active since July 17, 2014
2416 S BROAD ST, PHILADELPHIA, PA 19145(267) 981-2652 Get Directions Write a Review

NPPES record last updated: July 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evergrin Llc NPPES

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

EVERGRIN LLC (NPI 1720495195) is a healthcare organization registered as a general practice in Philadelphia, Pennsylvania and active in the NPI registry since July 2014. The organization lists Priya Trivedi, Partner/director, as its authorized official.

NPPES Registry Identity

NPI1720495195
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEVERGRIN LLC
Location Address2416 S BROAD STPhiladelphia, PA 19145-4418
Mailing Address320 N Oxford Valley RdFairless Hills, PA 19030-2610 · (215) 946-9400 · Fax (215) 946-9409
Phone(267) 981-2652
Organization SubpartNo
Authorized OfficialPriya TrivediPartner/director · (267) 981-2652
Enumeration DateJuly 17, 2014
✔ NPI 1720495195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in PA · DS038095
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.
2416 S BROAD ST, Philadelphia, PA 19145
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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

Other Providers at the Same Location NPPES

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

DR. CHRISTOPHER JAMES COX D.M.D.
Dentist (General Practice)
2416 S BROAD ST
PHILADELPHIA, PA 19145
Philadelphia County (215) 389-3161

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 Evergrin LLC's NPI number?

The NPI number for Evergrin LLC is 1720495195. It was assigned to this organization in the NPPES registry on July 17, 2014.

Where is Evergrin LLC located?

Evergrin LLC is located at 2416 S Broad St, Philadelphia, PA 19145. The listed phone number is (267) 981-2652.

What is Evergrin LLC'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 Evergrin LLC was last updated on July 17, 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.