Evergreen Dental P a

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25602 Issued in TX

Legal business name

EVERGREEN DENTAL P A

Practice address

225 E State Highway 121 Ste 117
Coppell, TX 75019-2008

Phone

(972) 315-0811

Fax

(972) 315-0891

NPI assigned

Sep 28, 2011

Last updated

Sep 28, 2011By 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

Dr. Heeje Lee, D.D.S.NPI 1730378381

Title

Owner

Phone

(972) 315-0811

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heeje Lee, D.D.S.

  • Prosthodontics
  • Coppell, TX
  • NPI 1730378381
  NPD (past) Authorized official

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1871876680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E STATE HIGHWAY 121 STE 117",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192008",
            "telephone_number": "972-315-0811",
            "fax_number": "972-315-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E STATE HIGHWAY 121 STE 117",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192008",
            "telephone_number": "972-315-0811",
            "fax_number": "972-315-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN DENTAL P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "HEEJE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-315-0811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Erwin, PA
• Carmen Denise Escobar
• Sage Ann Espitia, M.S., LMHC, LPC
• Devon Estes, LPC
• Robin Nicole Evans, RBT
• Evergreen Homecare Services
• Expecare, LP (Texas Walk-in &Urgent Care)
• Eye Specialists and Laser Center of Texas
• Carmina Maria Fajardo, RDH
• Joshua D Falk, PHARM.D.

• General Practice Dentistry in Coppell, TX
• Providers in Coppell, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.