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Evergreen Dental Anesthesia PLLC — NPI 1821684713, Louisville, CO | NPI Central

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NPI 1821684713

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Evergreen Dental Anesthesia PLLC

NPI 1821684713 · Dental Anesthesiology · Louisville, CO

Provider details

NPI number: 1821684713
Entity type: Organization
Primary specialty: Dental AnesthesiologyDental Providers
Organization subpart: No
Authorized official: Nathan Carillo, President/Owner(562) 673-8732

Specialties & taxonomies

Dental AnesthesiologyPrimary1223D0004X
Dental Providers

Practice location

357 Mccaslin Blvd Ste 200

Louisville, CO 80027-2932

Phone: (970) 699-8954

Approximate (ZIP-level) locationGet directions

More CO providers

Mailing address

357 Mccaslin Blvd Ste 200

Louisville, CO 80027-2932

Other names (DBA / former)

Doing business as: Evergreen Dental Anesthesia

Registry dates

Enumerated: 2020-12-15
Last updated: 2020-12-15
Certified: 2020-12-15

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