| Evergreen Dentistry, Llc | |
|
4748 203rd St Bayside NY 11361-3039 | |
| (718) 578-1126 | |
| (718) 578-1126 |
| Full Name | Evergreen Dentistry, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4748 203rd St, Bayside, New York |
| Authorized Official Name and Position | Andrew Kim (PRESIDENT) |
| Authorized Official Contact | 7185781126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Dentistry, Llc 4748 203rd St Bayside NY 11361-3039 Ph: (718) 578-1126 | Evergreen Dentistry, Llc 4748 203rd St Bayside NY 11361-3039 Ph: (718) 578-1126 |
| NPI Number | 1790981579 |
|---|---|
| Provider Enumeration Date | 06/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790981579 | NPI | - | NPPES |
| 02685578 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 050969 (New York) | Primary |
Vered Maslavi, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4505 Francis Lewis Blvd, Bayside, NY 11361 Phone: 718-279-0900 Fax: 718-279-0929 | |
Choi Dental Care P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 21902 Northern Blvd Ste 2e, Bayside, NY 11361 Phone: 718-225-3337 Fax: 718-225-3999 | |
Bayview Orthodontics, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 21333 39th Ave Ste 300, Bayside, NY 11361 Phone: 718-423-2626 | |
Ally Dental P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 21230 23rd Ave, Ste L2, Bayside, NY 11360 Phone: 347-246-5288 Fax: 718-463-2308 | |
Bayside Family Dental, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 21333 39th Ave, Suite 302, Bayside, NY 11361 Phone: 718-423-2626 | |
Anne Chan-ly, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 208-54 Cross Island Parkway, Bayside, NY 11360 Phone: 718-631-0508 | |
Corbin Family Dental Arts Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20417 35th Ave, Bayside, NY 11361 Phone: 718-631-7051 Fax: 718-423-1529 |