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

Evergreen Dental PA

Organization Dentist · NPI 1649703216

Evergreen Dental PA is a Dentist in Woodbury, New Jersey. Licensed in New Jersey. Registered with an NPI since 2017.

Licensed in
NJ
In the registry since
2017
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

549 S Evergreen Ave
Woodbury, NJ 08097-1004
Phone: (609) 226-6489
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 22DI01430100 (NJ)

Record details

NPI number1649703216
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Ruden — Owner · (609) 226-6489
NPI enumeratedApril 10, 2017
Last updated in NPPESApril 10, 2017
Mailing address549 S Evergreen Ave, Woodbury, NJ 08097-1004

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