Evergreen Dental Group, LLC
NPI 1457641136 · General Practice Dentistry · South Windsor, CT
Evergreen Dental Group, LLC is a General Practice Dentistry organization in South Windsor, CT (NPI 1457641136).
Provider details
- NPI number
- 1457641136
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Chia Hui Kwon, Part Owner/ Dentist(917) 453-4055
- License
- 010241 (CT)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES 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
Mailing address
Registry dates
- Enumerated
- 2011-04-14
- Last updated
- 2011-04-14
Frequently asked questions
- What is Evergreen Dental Group, LLC's NPI number?
- Evergreen Dental Group, LLC's National Provider Identifier (NPI) is 1457641136, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Dental Group, LLC?
- Evergreen Dental Group, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Evergreen Dental Group, LLC located?
- Evergreen Dental Group, LLC's practice location on file with NPPES is 34 Evergreen Way, South Windsor, CT 06074-6976.
- What is Evergreen Dental Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Dental Group, LLC is (917) 453-4055.
- Who is the authorized official for Evergreen Dental Group, LLC?
- The authorized official listed on Evergreen Dental Group, LLC's NPPES record is Chia Hui Kwon, Part Owner/ Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Dental Group, LLC's NPI active?
- Yes — Evergreen Dental Group, LLC's NPI (1457641136) is active in the NPPES registry as of the last update on 2011-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.