OrganizationActive
Evergreen Dental Partners LLC
NPI 1871329292 · Dental Clinic/Center · Appleton, WI
Evergreen Dental Partners LLC is a Dental Clinic/Center organization in Appleton, WI (NPI 1871329292).
Provider details
- NPI number
- 1871329292
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jacob Hustad, Dentist(608) 345-1410
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
2310 E Evergreen Dr Ste a
Appleton, WI 54913-7405
Phone: (608) 345-1410
Street-level locationGet directions
Mailing address
2310 E Evergreen Dr Ste a
Appleton, WI 54913-7405
Other names (DBA / former)
- Doing business as
- Evergreen Dental
Registry dates
- Enumerated
- 2024-09-11
- Last updated
- 2024-09-11
- Certified
- 2024-09-11
Frequently asked questions
- What is Evergreen Dental Partners LLC's NPI number?
- Evergreen Dental Partners LLC's National Provider Identifier (NPI) is 1871329292, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Dental Partners LLC?
- Evergreen Dental Partners LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Evergreen Dental Partners LLC located?
- Evergreen Dental Partners LLC's practice location on file with NPPES is 2310 E Evergreen Dr Ste a, Appleton, WI 54913-7405.
- What is Evergreen Dental Partners LLC's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Dental Partners LLC is (608) 345-1410.
- Who is the authorized official for Evergreen Dental Partners LLC?
- The authorized official listed on Evergreen Dental Partners LLC's NPPES record is Jacob Hustad, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Dental Partners LLC's NPI active?
- Yes — Evergreen Dental Partners LLC's NPI (1871329292) is active in the NPPES registry as of the last update on 2024-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.