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Evergreen Prosthodontic Associates, LLC — NPI 1306277892, Fairfield, CT | NPI Central

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NPI 1306277892

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Evergreen Prosthodontic Associates, LLC

NPI 1306277892 · Prosthodontics · Fairfield, CT

Provider details

NPI number: 1306277892
Entity type: Organization
Primary specialty: ProsthodonticsDental Providers
Parent organization: Evergreen Prosrthodontic Associates, LLC
Organization subpart: Yes
Authorized official: Minsung Yoon, Owner(203) 259-7870
License: 9601 (CT)

Specialties & taxonomies

ProsthodonticsPrimary1223P0700X
Dental Providers
Prosthodontics1223P0700XLicense 9601 (CT)
Dental Providers
Prosthodontics1223P0700XLicense 9863 (CT)
Dental Providers

Practice location

1300 Post Rd

Suite 101

Fairfield, CT 06824-6038

Phone: (203) 259-7870

Approximate (ZIP-level) locationGet directions

More CT providers

Mailing address

1300 Post Rd

Fairfield, CT 06824-6038

Other names (DBA / former)

Doing business as: Evergreen Family Dental
Doing business as: Evergreen Family Dental

Registry dates

Enumerated: 2013-12-09
Last updated: 2023-03-30
Certified: 2023-03-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.