Evergreen Oral Surgery

LBN: Evergreen Oral Surgery
Evergreen Oral Surgery is an health care organization with primary practice located at 6050 Tacoma Mall Blvd Ste 330 , Tacoma WA 98409-6811. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as the primary health care specialty. Evergreen Oral Surgery can be contacted via phone (253) 473-0651, or through Minks, Angie via phone (740) 243-6241.

Contact Information

Primary practice address
6050 Tacoma Mall Blvd Ste 330 Tacoma WA 98409-6811
Phone: (253) 473-0651
Fax: (253) 444-0761
Website:
Map and Directions
Authorized official contact:
Name: Minks, Angie
Phone: (740) 243-6241

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X

Profile Details

NPI number 1811586761
LBN Legal business name Evergreen Oral Surgery
DBA Doing business as
Authorized official Minks, Angie
Entity Organization
Organization subpart 1 No
Enumeration date Jan 14th, 2021
Last updated Jan 14th, 2021 - about 4 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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