Evergreen Smiles

NPI #1205628104 in Dallas, Oregon

Provider Information

NPI Number
1205628104
Entity Type
Organization
Organization Name
Evergreen Smiles
Primary Specialty
Dentist - General Practice
Enumeration Date
May 19, 2025
Last Updated
May 19, 2025

Practice Location

Address
289 E ELLENDALE AVE STE 201
City
Dallas
State
Oregon
ZIP Code
97338-1541
Phone
(770) 876-5404

Authorized Official

Name
DR. TANNER WEEKS, DMD
Title
OWNER/DENTIST
Phone
(770) 876-5404

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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