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EVERGREEN DENTAL P A
NPI 1871876680
Dentist - General Practice in Coppell, TX

Active since September 28, 2011
225 E STATE HIGHWAY 121 STE 117, COPPELL, TX 75019(972) 315-0811(972) 315-0891 Get Directions Write a Review

NPPES record last updated: September 28, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evergreen Dental P A NPPES

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

EVERGREEN DENTAL P A (NPI 1871876680) is a healthcare organization registered as a general practice in Coppell, Texas and active in the NPI registry since September 2011. The organization lists Heeje Lee, Owner, as its authorized official.

NPPES Registry Identity

NPI1871876680
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEVERGREEN DENTAL P A
Location Address225 E STATE HIGHWAY 121 STE 117Coppell, TX 75019-2008
Mailing Address225 E State Highway 121 Ste 117Coppell, TX 75019-2008 · (972) 315-0811 · Fax (972) 315-0891
Phone(972) 315-0811
Fax(972) 315-0891
Organization SubpartNo
Authorized OfficialHeeje LeeOwner · (972) 315-0811
Enumeration DateSeptember 28, 2011
✔ NPI 1871876680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 25602
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.
225 E STATE HIGHWAY 121 STE 117, Coppell, TX 75019
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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

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 P A's NPI number?

The NPI number for Evergreen Dental P A is 1871876680. It was assigned to this organization in the NPPES registry on September 28, 2011.

Where is Evergreen Dental P A located?

Evergreen Dental P A is located at 225 E State Highway 121 Ste 117, Coppell, TX 75019. The listed phone number is (972) 315-0811.

What is Evergreen Dental P A'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 P A was last updated on September 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.