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Evergreen Dental Group, LLC

General Practice Dentistry in South Windsor, CT · enumerated 2011 · authorized official Chia Hui Kwon, Part Owner/ Dentist.

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

National Provider Identifier

1457641136

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Registry record

Entity type Organization (Type 2)
Legal business name Evergreen Dental Group, LLC
Practice address 34 Evergreen Way, South Windsor, CT, 06074
Phone (917) 453-4055
Enumeration date Apr 14, 2011
Last updated in NPPES Apr 14, 2011

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License 010110 (CT) Primary
1223G0001X General Practice Dentistry Dental Providers · License 010241 (CT) Secondary
1223P0221X Pediatric Dentistry Dental Providers · License 010004 (CT) Secondary

Authorized official

Name Chia Hui Kwon
Title Part Owner/ Dentist
Phone (917) 453-4055

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.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Evergreen Dental Group, LLC?
Evergreen Dental Group, LLC is registered in NPPES as a General Practice Dentistry (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-04-14.