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Evergreen Smiles

General Practice Dentistry in Dallas, OR · enumerated 2025 · authorized official Tanner Weeks, Owner/Dentist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205628104

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Registry record

Entity type Organization (Type 2)
Legal business name Evergreen Smiles
Practice address 289 E Ellendale Ave Ste 201, Dallas, OR, 97338
Enumeration date May 19, 2025
Last updated in NPPES May 19, 2025

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Tanner Weeks
Title Owner/Dentist

Other identifiers

Identifier Type State Issuer
1881433670 Medicaid UT

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

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Frequently asked questions

Where is Evergreen Smiles located?
The practice location on file with NPPES is in Dallas, OR.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-05-19. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-19.