Evergreen Dental, SC
Evergreen Dental, SC is a General Practice Dentistry in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.
- Licensed in
- WI
- In the registry since
- 2007
Practice location Address checks out
2310 E Evergreen Dr Ste AAppleton, WI 54913-7404
Phone: (920) 734-0601
Fax: (920) 734-9159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 3400W (WI) |
|---|
Record details
| NPI number | 1851433114 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Paul Popelka — Owner · (920) 734-0601 |
| NPI enumerated | February 13, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 2310 E Evergreen Dr, Suite A, Appleton, WI 54913-7404 |
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