Evergreen Dental Partners LLC
Evergreen Dental Partners LLC is a Dental Clinic/Center in Appleton, Wisconsin. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2310 E Evergreen Dr Ste AAppleton, WI 54913-7405
Phone: (608) 345-1410
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1871329292 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jacob Hustad — Dentist · (608) 345-1410 |
| Other names | Evergreen Dental |
| NPI enumerated | September 11, 2024 |
| Last updated in NPPES | September 11, 2024 |
| Certification date | September 11, 2024 |
| Mailing address | 2310 E Evergreen Dr Ste A, Appleton, WI 54913-7405 |
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