Evergreen Smiles

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EVERGREEN SMILES

Practice address

289 E Ellendale Ave Ste 201
Dallas, OR 97338-1541

Phone

(770) 876-5404

NPI assigned

May 19, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tanner Weeks, DMDNPI 1881433670

Title

Owner/Dentist

Phone

(770) 876-5404

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tanner Weeks, DMD

  • Dentist
  • Price, UT
  • NPI 1881433670
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1205628104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7015 RIVA RIDGE DR SE",
            "city": "TURNER",
            "state": "OR",
            "postal_code": "973929455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 E ELLENDALE AVE STE 201",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973381541",
            "telephone_number": "770-876-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "WEEKS",
        "authorized_official_first_name": "TANNER",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "770-876-5404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881433670",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April Erdos
• Pamela Rae Erland, M.A.
• Donna Jean Errandolsen
• Constance Jo Ervin, LMT
• Charles Phillip Essex, M.D.
• Gregory Scott Fahlman
• Family Connects Oregon
• Shoshana Farber, WHNP
• Adam Jeffrey Fergus
• Fir Hill Group Home LLC

• General Practice Dentistry in Dallas, OR
• Providers in Dallas, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.