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

Evergreen Family Dentistry, Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1316213374

Evergreen Family Dentistry, Inc is a Durable Medical Equipment & Medical Supplies in Monroe, Washington. Licensed in Washington. Registered with an NPI since 2012.

Licensed in
WA
In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17798 147th St SE
Monroe, WA 98272-1030
Phone: (360) 805-0211
Fax: (360) 863-9222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X · Licence 7077 (WA)

Record details

NPI number1316213374
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glen Monson — Owner · (360) 805-0211
NPI enumeratedMarch 23, 2012
Last updated in NPPESMarch 23, 2012
Mailing address17798 147th St Se, Monroe, WA 98272-1030

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