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

Evergreen Family Dentistry

Organization Dentist · NPI 1124966544

Evergreen Family Dentistry provides Dentist services in Monroe, Washington. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

17798 147th St SE
Monroe, WA 98272-1030
Phone: (360) 805-0211
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1124966544
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Park — Owner Dentist · (360) 805-0211
NPI enumeratedMarch 24, 2026
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026
Mailing address17798 147th St Se, Monroe, WA 98272-1030

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