OrganizationActive
Evergreen Family Dentistry
NPI 1124966544 · Dentist · Monroe, WA
Evergreen Family Dentistry is a Dentist organization in Monroe, WA (NPI 1124966544).
Provider details
- NPI number
- 1124966544
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Robert Park, Owner Dentist(360) 805-0211
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17798 147th St Se
Monroe, WA 98272-1030
Phone: (360) 805-0211
Street-level locationGet directions
Mailing address
17798 147th St Se
Monroe, WA 98272-1030
Registry dates
- Enumerated
- 2026-03-24
- Last updated
- 2026-03-24
- Certified
- 2026-03-24
Frequently asked questions
- What is Evergreen Family Dentistry's NPI number?
- Evergreen Family Dentistry's National Provider Identifier (NPI) is 1124966544, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Family Dentistry?
- Evergreen Family Dentistry is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Evergreen Family Dentistry located?
- Evergreen Family Dentistry's practice location on file with NPPES is 17798 147th St Se, Monroe, WA 98272-1030.
- What is Evergreen Family Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Family Dentistry is (360) 805-0211.
- Who is the authorized official for Evergreen Family Dentistry?
- The authorized official listed on Evergreen Family Dentistry's NPPES record is Robert Park, Owner Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Family Dentistry's NPI active?
- Yes — Evergreen Family Dentistry's NPI (1124966544) is active in the NPPES registry as of the last update on 2026-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.