Evergreen Oral Surgery
NPI 1811586761 · Oral & Maxillofacial Surgery (D.M.D.) · Tacoma, WA
Evergreen Oral Surgery is a Oral & Maxillofacial Surgery (D.M.D.) organization in Tacoma, WA (NPI 1811586761).
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
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
Mailing address
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
Frequently asked questions
- What is Evergreen Oral Surgery's NPI number?
- Evergreen Oral Surgery's National Provider Identifier (NPI) is 1811586761, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Oral Surgery?
- Evergreen Oral Surgery is classified in the NPPES registry as Oral & Maxillofacial Surgery (D.M.D.) (Allopathic & Osteopathic Physicians).
- Where is Evergreen Oral Surgery located?
- Evergreen Oral Surgery's practice location on file with NPPES is 6050 Tacoma Mall Blvd Ste 330, Tacoma, WA 98409-6811.
- What is Evergreen Oral Surgery's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Oral Surgery is (253) 473-0651.
- Who is the authorized official for Evergreen Oral Surgery?
- The authorized official listed on Evergreen Oral Surgery's NPPES record is Angie Minks, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Oral Surgery's NPI active?
- Yes — Evergreen Oral Surgery's NPI (1811586761) is active in the NPPES registry as of the last update on 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.