EVERGREEN DENTAL ASSOCIATES LLC NPI 1013121342

NPI Information

  • NPI: 1013121342
  • Provider Name: EVERGREEN DENTAL ASSOCIATES LLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 281 WESTERN AVE
    AUGUSTA, ME
    ZIP 04330
  • Phone: (207) 622-0861

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NPI Details

EVERGREEN DENTAL ASSOCIATES LLC is a general practice dentist in Augusta, ME. The provider is 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. EVERGREEN DENTAL ASSOCIATES LLC NPI is 1013121342. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

281 WESTERN AVE
AUGUSTA, ME
ZIP 04330-933
Phone: (207) 622-0861

The provider's authorized official is Mikki M Studley .
The authorized official title is Practice Administrator and has the following contact phone number (207) 622-0861.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 3/13/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice2482MAINENo
21223G0001XDentistGeneral Practice3692MAINEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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