Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
EVERGREEN DENTAL PA
Active
Organization
EVERGREEN DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD RUDEN DMD (OWNER)
(609) 226-6489
Entity
Organization
Contact information
Practice address
549 S EVERGREEN AVE, WOODBURY, NJ 08097-1004
(609) 226-6489
Mailing address
549 S EVERGREEN AVE, WOODBURY, NJ 08097-1004
(609) 226-6489
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI01430100
NJ
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers