Evergreen Smiles Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EVERGREEN SMILES INC

Practice address

9100 W Chester Towne Ctr Ste 9270
West Chester, OH 45069-3106

Phone

(203) 703-2762

NPI assigned

Nov 20, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Mandeep Kaur Pannu, DMDNPI 1912510645

Title

General Dentist

Phone

(203) 703-2762

Specialties & licenses 1

Addresses

Other names 1

• Evergreen Smiles Doing business as

Locations

Practitioners 1

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

• Mandeep Kaur Pannu

  • Dentist
  • Blue Ash, OH
  • NPI 1912510645
  NPD Authorized official

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1699540682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4379 LEGACY GREENS DR",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451037109",
            "telephone_number": "203-703-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 W CHESTER TOWNE CTR STE 9270",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450693106",
            "telephone_number": "203-703-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN SMILES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "PANNU",
        "authorized_official_first_name": "MANDEEP",
        "authorized_official_middle_name": "KAUR",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "203-703-2762",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brad A Evans, DO
• Michelle Evans
• Rebecca Ann Evans, BCBA
• Christina Even
• Everest Home Healthcare, LLC
• Cheryl Everhart, L.P.C., C.D.C.A.
• Barbara Ann Evers-Carman, OT
• Eversafe Transportation LLC
• Heidi Eversole, MA, LPC, TF-CBT
• Margaret Platt Everson, R.N.

• General Practice Dentistry in West Chester, OH
• Providers in West Chester, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.