EVERGREEN DENTAL, SC
NPI 1851433114
Dentist - General Practice in Appleton, WI

Active since February 13, 2007
2310 E EVERGREEN DR, SUITE A, APPLETON, WI 54913(920) 734-0601(920) 734-9159 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evergreen Dental, Sc NPPES

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

EVERGREEN DENTAL, SC (NPI 1851433114) is a healthcare organization registered as a general practice in Appleton, Wisconsin and active in the NPI registry since February 2007. The organization lists Paul Francis Popelka, Owner, as its authorized official.

NPPES Registry Identity

NPI1851433114
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEVERGREEN DENTAL, SC
Location Address2310 E EVERGREEN DR, SUITE AAppleton, WI 54913-7404
Mailing Address2310 E Evergreen Dr, Suite AAppleton, WI 54913-7404 · (920) 734-0601 · Fax (920) 734-9159
Fax(920) 734-9159
Organization SubpartNo
Authorized OfficialPaul Francis PopelkaOwner · (920) 734-0601
Enumeration DateFebruary 13, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1851433114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WI · 3400W
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.
2310 E EVERGREEN DR, Appleton, WI 54913

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 3

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

Dentist (General Practice)
2310 E EVERGREEN DR, SUITE A
APPLETON, WI 54913
Dentist (Orthodontics and Dentofacial Orthopedics)
2310 E EVERGREEN DR, SUITE B
APPLETON, WI 54913
Dentist (Orthodontics and Dentofacial Orthopedics)
2310 E EVERGREEN DR, SUITE B
APPLETON, WI 54913

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, Sc's NPI number?

The NPI number for Evergreen Dental, Sc is 1851433114. It was assigned to this organization in the NPPES registry on February 13, 2007.

Where is Evergreen Dental, Sc located?

Evergreen Dental, Sc is located at 2310 E Evergreen Dr Suite A, Appleton, WI 54913. The listed phone number is (920) 734-0601.

What is Evergreen Dental, Sc'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 Evergreen Dental, Sc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.