Evergrin Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

EVERGRIN DENTAL

Practice address

400 Lincoln St
#11
Hingham, MA 02043-1505

Phone

(781) 836-5230

NPI assigned

Jan 20, 2017

Last updated

Jan 20, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hoang L. DO, DMD

Title

Owner

Phone

(781) 836-5230

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1467999037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LINCOLN ST",
            "address_2": "#11",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020431505",
            "telephone_number": "781-836-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LINCOLN ST",
            "address_2": "#11",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020431505",
            "telephone_number": "781-836-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGRIN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-20",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "HOANG",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-836-5230",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Hingham, MA
• Providers in Hingham, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.