Evergreen Dental, Inc.

LBN: Evergreen Dental, Inc.
Evergreen Dental, Inc. is an health care organization with primary practice located at 833 N Wilke Rd , Arlington Heights IL 60005-1047. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Evergreen Dental, Inc. can be contacted via phone (847) 999-8004, or through Bashford, Timothy P via phone (847) 999-8004.

Contact Information

Primary practice address
833 N Wilke Rd Arlington Heights IL 60005-1047
Phone: (847) 999-8004
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bashford, Timothy P Doctor of Dental Surgery (DDS)
Phone: (847) 999-8004

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1396343133
LBN Legal business name Evergreen Dental, Inc.
DBA Doing business as
Authorized official Bashford, Timothy P Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2020
Last updated Sep 20th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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