Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evergreen Dental PA

Organization Dentist · NPI 1649703216

Evergreen Dental PA provides Dentist services in Woodbury, New Jersey. Licensed in New Jersey. Registered with an NPI since 2017.

Licensed in
NJ
In the registry since
2017
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

549 S Evergreen Ave
Woodbury, NJ 08097-1004
Phone: (609) 226-6489
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 22DI01430100 (NJ)

Record details

NPI number1649703216
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Ruden — Owner · (609) 226-6489
NPI enumeratedApril 10, 2017
Last updated in NPPESApril 10, 2017
Mailing address549 S Evergreen Ave, Woodbury, NJ 08097-1004

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