Evergreen Dentistry, Llc is a renowned Dental office in Bayside, New York. It is located at 4748 203rd St, Bayside, NY and its contact number is 718-578-1126. The authorized person for Evergreen Dentistry, Llc is Dr. Andrew Kim
who is President of the place and their contact number is 718-578-1126. The primary license number for Evergreen Dentistry, Llc is 050969 (Dental) in New York.
Evergreen Dentistry, Llc Office is a healthcare facility where dedicated dental team composed of licensed professionals, including dentists (DDS or DMD), dental hygienists, dental assistants, and administrative staff (manage appointments, billing, and patient records) provides preventive, diagnostic, and therapeutic oral health services like oral exams and X-rays, fillings, fluoride treatments, teeth cleanings, implants, crowns, bridges, tooth extractions, root canals, and cosmetic procedures such as teeth whitening, braces and veneers to patients through outpatient care.
Complete Profile:
Evergreen Dentistry, Llc Office speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Evergreen Dentistry, Llc
Specialization:
Dentistry
Address:
4748 203rd St, Bayside, New York, 11361-3039
Phone:
718-578-1126
Fax:
718-578-1126
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this Office are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Andrew Kim
Position:
President
Contact Number:
718-578-1126
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 Dentistry, Llc Office are as mentioned below.
NPI Number:
1790981579
NPI Enumeration Date:
26 Jun, 2007
NPI Last Update On:
22 Aug, 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 Dentistry, Llc are as mentioned below.
Specialization
License Number
State
Status
Dental
050969
New York
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the Office such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
02685578
Medicaid
New York
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 Dentistry, Llc 4748 203rd St, Bayside, New York
Zip:
11361-3039
Phone Number:
718-578-1126
Fax Number:
718-578-1126
Patients can reach Evergreen Dentistry, Llc at 4748 203rd St, Bayside, New York or can call to book an appointment on 718-578-1126. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.