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

Evergreen Oral Surgery

Organization Oral & Maxillofacial Surgery (D.M.D.) · NPI 1811586761

Evergreen Oral Surgery is an Oral & Maxillofacial Surgery (D.M.D.) in Tacoma, Washington. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

6050 Tacoma Mall Blvd Ste 330
Tacoma, WA 98409-6811
Phone: (253) 473-0651
Fax: (253) 444-0761
Show map & directions

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

Additional practice locations (1)

  • 10016 156th St E, Puyallup, WA 98375-5103 — (253) 799-1525

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X

Record details

NPI number1811586761
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angie Minks — Credentialing Specialist · (740) 243-6241
NPI enumeratedJanuary 14, 2021
Last updated in NPPESJanuary 14, 2021
Certification dateJanuary 14, 2021
Mailing address13894 Sunladen Ct, Pickerington, OH 43147-8216

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