Evergreen Dental Pa

LBN: Evergreen Dental Pa
Evergreen Dental Pa is an health care organization with primary practice located at 549 S Evergreen Ave , Woodbury NJ 08097-1004. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Evergreen Dental Pa can be contacted via phone (609) 226-6489, or through Ruden, Richard via phone (609) 226-6489.

Contact Information

Primary practice address
549 S Evergreen Ave Woodbury NJ 08097-1004
Phone: (609) 226-6489
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ruden, Richard Doctor of Dental Medicine (DMD)
Phone: (609) 226-6489

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 22DI01430100 New Jersey

Profile Details

NPI number 1649703216
LBN Legal business name Evergreen Dental Pa
DBA Doing business as
Authorized official Ruden, Richard Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2017
Last updated Apr 10th, 2017 - about 7 years ago

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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