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

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.

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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

What is EVERGREEN PLAZA DENTAL, INC's NPI number?

The NPI number assigned to this healthcare provider is 1750406963, enumerated as an "organization" on March 20, 2007.

Where is the provider located?

The provider is located at 45160 MAIN ST MENDOCINO, CA 95460 and the phone number is (707) 964-4759.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.

What insurance does EVERGREEN PLAZA DENTAL, INC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.