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

Evergreen Family Dentistry

Organization Dentist · NPI 1124966544

Evergreen Family Dentistry is a Dentist in Monroe, Washington. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

17798 147th St SE
Monroe, WA 98272-1030
Phone: (360) 805-0211
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1124966544
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Park — Owner Dentist · (360) 805-0211
NPI enumeratedMarch 24, 2026
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026
Mailing address17798 147th St Se, Monroe, WA 98272-1030

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