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

Evergrin LLC

Organization General Practice Dentistry · NPI 1720495195

Evergrin LLC is a General Practice Dentistry in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2014.

Licensed in
PA
In the registry since
2014
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

2416 S Broad St
Philadelphia, PA 19145-4418
Phone: (267) 981-2652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DS038095 (PA)

Record details

NPI number1720495195
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Priya Trivedi — Partner/Director · (267) 981-2652
NPI enumeratedJuly 17, 2014
Last updated in NPPESJuly 17, 2014
Mailing address320 N Oxford Valley Rd, Fairless Hills, PA 19030-2610

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