NPI 1013121342
Evergreen Dental Associates LLC
Practice location
- Address
- 281 Western Ave, Augusta, ME 04330-4933
- Phone
- (207) 622-0861
Authorised official
- Name
- Mikki M Studley
- Title
- Practice Administrator
- Phone
- (207) 622-0861
Registered specialties (2)
General Practice Dentistry
Primary
General Practice Dentistry
Registry record
- NPI
- 1013121342
- Entity type
- Organization
- NPI issued
- 9 May 2007
- Record last updated
- 13 Mar 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.