EVERGREEN DENTAL SC NPI 1851433114

NPI Information

EVERGREEN DENTAL, SC is a general practice dentist in Appleton, WI. 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, SC NPI is 1851433114. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2310 E EVERGREEN DR
SUITE A
APPLETON, WI
ZIP 54913-404
Phone: (920) 734-0601
Fax: (920) 734-9159

The provider's authorized official is Paul Francis Popelka .
The authorized official title is Owner and has the following contact phone number (920) 734-0601.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 8/22/2020.

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:

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