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

Dr. Mary Ellen Evolo, DMD

Individual provider General Practice Dentistry · NPI 1669594644

Dr. Mary Ellen Evolo, DMD is a General Practice Dentistry in New York, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

230 Park Ave Rm 1164
New York, NY 10169-1164
Phone: (212) 682-8306
Fax: (212) 697-3005
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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 048919 (NY)

Record details

NPI number1669594644
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedApril 3, 2007
Last updated in NPPESJuly 8, 2007

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