Evergreen Plaza Dental, Inc is a renowned Dental office in Mendocino, California. It is located at 45160 Main St, Mendocino, CA and its contact number is 707-964-4759. The authorized person for Evergreen Plaza Dental, Inc is Patrick Carney
who is President of the place and their contact number is 707-964-4759. The primary license number for Evergreen Plaza Dental, Inc is 27738 (Dental) in California.
Evergreen Plaza Dental, Inc 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 Plaza Dental, Inc Office speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Evergreen Plaza Dental, Inc |
| Specialization: | Dentistry |
| Address: | 45160 Main St, Mendocino, California, 95460-2477 |
| Phone: | 707-964-4759 |
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: | Patrick Carney |
| Position: | President |
| Contact Number: | 707-964-4759 |
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 Plaza Dental, Inc Office are as mentioned below.
| NPI Number: | 1750406963 |
| NPI Enumeration Date: | 20 Mar, 2007 |
| NPI Last Update On: | 12 Sep, 2009 |
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 Plaza Dental, Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dental | 27738 | California | 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 |
| 27738 | Other | California | Dental License |
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 Plaza Dental, Inc Po Box 2477, Mendocino, California |
| Zip: | 95460-2477 |
| Phone Number: | 707-964-4759 |
Patients can reach Evergreen Plaza Dental, Inc at
45160 Main St, Mendocino, California or can
call to book an appointment on 707-964-4759.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.