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

Evergreen Prosthodontic Associates, LLC

Organization Prosthodontics · NPI 1306277892

Evergreen Prosthodontic Associates, LLC is a Prosthodontics in Fairfield, Connecticut. Licensed in Connecticut. Registered with an NPI since 2013.

Licensed in
CT
In the registry since
2013
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1300 Post Rd Ste 101
Fairfield, CT 06824-6038
Phone: (203) 259-7870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X
Prosthodontics Taxonomy 1223P0700X · Licence 9601 (CT)
Prosthodontics Taxonomy 1223P0700X · Licence 9863 (CT)

Record details

NPI number1306277892
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEvergreen Prosrthodontic Associates, LLC
Authorized official Minsung Yoon — Owner · (203) 259-7870
Other names Evergreen Family Dental; Evergreen Family Dental
NPI enumeratedDecember 9, 2013
Last updated in NPPESMarch 30, 2023
Certification dateMarch 30, 2023
Mailing address1300 Post Rd, Suite 101, Fairfield, CT 06824-6038

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