OrganizationActive
Evergreen Oral Surgery
NPI 1811586761 · Oral & Maxillofacial Surgery (D.M.D.) · Tacoma, WA
Provider details
- NPI number
- 1811586761
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Angie Minks, Credentialing Specialist(740) 243-6241
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
6050 Tacoma Mall Blvd Ste 330
Tacoma, WA 98409-6811
Phone: (253) 473-0651
Fax: (253) 444-0761
Street-level locationGet directions
Mailing address
13894 Sunladen Ct
Pickerington, OH 43147-8216
Additional practice locations (1)
- 10016 156th St EPuyallup, WA 98375-5103Phone: (253) 799-1525Fax: (253) 799-1524
Registry dates
- Enumerated
- 2021-01-14
- Last updated
- 2021-01-14
- Certified
- 2021-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.