Organization · Type 2 NPI

Evergreen Smiles

General Practice Dentistry · Dallas, OR

NPI number 1205628104 Active

Practice location

289 E Ellendale Ave Ste 201
Dallas, OR 97338-1541

Mailing address

7015 Riva Ridge Dr SE
Turner, OR 97392-9455

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1205628104

Evergreen Smiles's National Provider Identifier is 1205628104, issued on May 19, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Dallas, OR. The record was last updated on May 19, 2025.