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EVERGREEN PLAZA DENTAL, INC
NPI 1750406963
Clinic/Center - Dental in Mendocino, CA

Active since March 20, 2007
45160 MAIN ST, MENDOCINO, CA 95460(707) 964-4759 Get Directions Write a Review

NPPES record last updated: September 12, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evergreen Plaza Dental, Inc NPPES

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

EVERGREEN PLAZA DENTAL, INC (NPI 1750406963) is a healthcare organization registered as a dental in Mendocino, California and active in the NPI registry since March 2007. The organization lists Patrick Carney, President, as its authorized official.

NPPES Registry Identity

NPI1750406963
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameEVERGREEN PLAZA DENTAL, INC
Location Address45160 MAIN STMendocino, CA 95460-2477
Mailing AddressPo Box 2477Mendocino, CA 95460-2477 · (707) 964-4759
Phone(707) 964-4759
Organization SubpartNo
Authorized OfficialPatrick CarneyPresident · (707) 964-4759
Enumeration DateMarch 20, 2007
Last NPPES UpdateSeptember 12, 2009
✔ NPI 1750406963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in CA · 27738
45160 MAIN ST, Mendocino, CA 95460
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Other Identifiers 1

Other27738CA · Dental License

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 Plaza Dental, Inc's NPI number?

The NPI number for Evergreen Plaza Dental, Inc is 1750406963. It was assigned to this organization in the NPPES registry on March 20, 2007.

Where is Evergreen Plaza Dental, Inc located?

Evergreen Plaza Dental, Inc is located at 45160 Main St, Mendocino, CA 95460. The listed phone number is (707) 964-4759.

What is Evergreen Plaza Dental, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Evergreen Plaza Dental, Inc was last updated on September 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.