Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evergreen Dental Anesthesia PLLC

Organization Dental Anesthesiology · NPI 1821684713

Evergreen Dental Anesthesia PLLC is a Dental Anesthesiology in Louisville, Colorado. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

357 McCaslin Blvd Ste 200
Louisville, CO 80027-2932
Phone: (970) 699-8954
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Anesthesiology (primary) Taxonomy 1223D0004X

Record details

NPI number1821684713
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nathan Carillo — President/Owner · (562) 673-8732
Other names Evergreen Dental Anesthesia
NPI enumeratedDecember 15, 2020
Last updated in NPPESDecember 15, 2020
Certification dateDecember 15, 2020
Mailing address357 McCaslin Blvd Ste 200, Louisville, CO 80027-2932

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