Evergreen Dental, Sc

LBN: Evergreen Dental, Sc
Evergreen Dental, Sc is an health care organization with primary practice located at 2310 E Evergreen Dr Suite A, Appleton WI 54913-7404. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Evergreen Dental, Sc can be contacted via phone (920) 734-0601, or through Popelka, Paul Francis via phone (920) 734-0601.

Contact Information

Primary practice address
2310 E Evergreen Dr Suite A Appleton WI 54913-7404
Phone: (920) 734-0601
Fax: (920) 734-9159
Website:
Map and Directions
Authorized official contact:
Name: Popelka, Paul Francis Doctor of Dental Surgery (DDS)
Phone: (920) 734-0601

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3400W Wisconsin

Profile Details

NPI number 1851433114
LBN Legal business name Evergreen Dental, Sc
DBA Doing business as
Authorized official Popelka, Paul Francis Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2007
Last updated Aug 22nd, 2020 - about 5 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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