EVERGREEN DENTAL CENTER (NPI# 1467526038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467526038 |
| Entity Type | Organization |
| Organization Name | EVERGREEN DENTAL CENTER |
| Practice Address |
100 Edwina Street Evergreen AL 36401 |
| Mailing Address |
Po Box 266 Evergreen AL 36401 |
| Practice Telephone | 2515783331 |
| Practice Fax Number | 2515782006 |
| Mailing Telephone | 2515783331 |
| Mailing Fax Number | 2515782006 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT P LOUIS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2515783331 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DD5370C | AL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518155373 | Evergreen Dental Center | Dentist | 119 Old Fort Road, Suite B, Fort Deposit, AL 36032 | 2007-10-05 |
| Street Address |
100 EDWINA STREET |
| City | EVERGREEN |
| State | AL |
| Zip Code | 36401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356695886 | Evergreen Medical Center LLC | Emergency Medicine | 100 Edwina Street, Evergreen, AL 36401-3319 | 2012-11-06 |
| 1427366871 | Evergreen Medical Center LLC | Clinic/Center | 100 Edwina Street, Evergreen, AL 36401-3319 | 2010-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437347572 | Elizabeth L Godwin | Counselor | 101 Perryman Street Hwy 31, Compass Academy, Evergreen, AL 36401 | 2007-10-12 |
| 1679691661 | Floyd Michael Cartwright | Dentist | 122 Court Street, Evergreen, AL 36401 | 2007-03-27 |
| 1134141229 | Michael L Pitts | Physical Therapist | 124 Edwina St, Evergreen, AL 36401 | 2006-07-24 |
| 1275565442 | Mark A Roberts | Family Medicine | 106 Edwina Street, Evergreen, AL 36401 | 2006-07-07 |
| 1881677581 | Evergreen Medical Center LLC | Registered Nurse | 308 South Main St, Evergreen, AL 36401 | 2005-11-28 |
| 1063918118 | Jessica Roberts Pierce | Nurse Practitioner | 106 Edwina Street, Evergreen, AL 36401 | 2018-04-05 |
| 1962535112 | Douglas Patrick O'connor | Dentist | 104 Hillcrest Dr, Evergreen, AL 36401 | 2007-03-14 |
| 1952466211 | Mark A Roberts Md PC | Family Medicine | 106 Edwina Street, Evergreen, AL 36401 | 2006-12-27 |
| 1659540086 | State of Alabama | Public Health or Welfare | Highway 83 and I-65, Evergreen, AL 36401-0565 | 2008-02-29 |
| 1114447604 | Conecuh County Health Dept Std | Public Health or Welfare | 102 Wild Ave, Evergreen, AL 36401-2134 | 2017-06-26 |
| Find all providers in zip 36401 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457732877 | Thomas A. Brown | Dentist | 2902 Evergreen Pkwy, Evergreen, CO 80439-7922 | 2015-06-11 |
| 1619978673 | Troy Allen Fox | Dentist | 3720 Evergreen Parkway, Evergreen, CO 80439 | 2005-08-02 |
| 1376540880 | Donald G. Sharp | Dentist | 31226 Lewis Ridge Rd, Evergreen, CO 80439-7998 | 2005-06-30 |
| 1679962294 | Paula Young | Dentist | 29723 Troutdale Scenic Dr, Evergreen, CO 80439-7737 | 2015-01-20 |
| 1043625338 | Hossein Borzou Ouranos | Dentist | 1232 Bergen Pkwy, Evergreen, CO 80439 | 2014-06-25 |
| 1477819894 | Nathan P Cherof | Dentist | 31226 Lewis Ridge Rd, Evergreen, CO 80439-7998 | 2012-04-10 |
| 1356621122 | Evergreen Dental Partners LLP | Dentist | 1232 Bergen Pkwy, Evergreen, CO 80439-9573 | 2011-08-24 |
| 1063748473 | Gretchen Jean Bauer Huber | Dentist | 26926 Fern Gulch Rd, Evergreen, CO 80439-5633 | 2009-10-20 |
| 1184851867 | Kelly S Last | Dentist | 3092 Evergreen Pkwy, #100, Evergreen, CO 80439-7849 | 2009-06-19 |
| 1942459490 | Evergreen Family Dentistry PC | Dentist | 3720 Evergreen Parkway, Evergreen, CO 80439 | 2008-09-09 |
| Find all providers in EVERGREEN | ||||
Please comment or provide details below to improve the information on EVERGREEN DENTAL CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.