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

Evergreen Plaza Dental, Inc

Organization Dental Clinic/Center · NPI 1750406963

Evergreen Plaza Dental, Inc is a Dental Clinic/Center in Mendocino, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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

45160 Main St
Mendocino, CA 95460-2477
Phone: (707) 964-4759
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 27738 (CA)

Record details

NPI number1750406963
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patrick Carney — President · (707) 964-4759
NPI enumeratedMarch 20, 2007
Last updated in NPPESSeptember 12, 2009
Mailing addressPo Box 2477, Mendocino, CA 95460-2477