Evergreen Dental Partners LLC
Evergreen Dental Partners LLC is a healthcare organization registered as Dental Clinic/Center in Appleton, WI, holding Type 2 (organization) NPI 1871329292 since 2024. The authorized official on file is Jacob Hustad, Dentist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1871329292 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Evergreen Dental Partners LLC |
| Practice address | 2310 E EVERGREEN DR STE A, Appleton, WI, 54913 |
| Phone | 6083451410 |
| Enumeration date | 2024-09-11 |
| Last updated in NPPES | 2024-09-11 |
Authorized official
| Name | Jacob Hustad |
|---|---|
| Title | Dentist |
| Phone | 6083451410 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QD0000X | Dental Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Evergreen Dental Partners LLC NPI: 1871329292 Taxonomy: 261QD0000X (Dental Clinic/Center) Address: 2310 E EVERGREEN DR STE A, Appleton, WI, 54913
Verify this record
Cross-check NPI 1871329292 against the authoritative CMS record: view Evergreen Dental Partners LLC on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Evergreen Dental Partners LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-09-11.