Evergreen Dental, Llc is a Dental Clinic in Palmer, Alaska. It is located at 125 W Evergreen Ave Ste 204, Palmer, AK and its contact number is 907-531-3477. The authorized person for Evergreen Dental, Llc is Mrs. Rachael Fetuao Middleton
who is Chief Operations Officer of the clinic and their contact number is 907-276-4537.
Evergreen Dental, Llc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Evergreen Dental, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Evergreen Dental, Llc |
| Specialization: | Dentistry |
| Clinic Address: | 125 W Evergreen Ave Ste 204, Palmer,
Alaska, 99645-6908 |
| Phone: | 907-531-3477 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Rachael Fetuao Middleton |
| Position: | Chief Operations Officer |
| Contact Number: | 907-276-4537 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Evergreen Dental, Llc clinic are as mentioned below.
| NPI Number: | 1518574052 |
| NPI Enumeration Date: | 29 Sep, 2020 |
| NPI Last Update On: | 29 Sep, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Evergreen Dental, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1922430040 | Medicaid | Alaska | |
| 1417158080 | Medicaid | Alaska | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Evergreen Dental, Llc
125 W Evergreen Ave Ste 204,
Palmer, Alaska |
| Zip: | 99645-6908 |
| Phone Number: | 907-531-3477 |
Patients can reach Evergreen Dental, Llc at
125 W Evergreen Ave Ste 204, Palmer, Alaska or can
call to book an appointment on 907-531-3477.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.