# EVERGREEN DENTAL P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689228546
- **Authorized official:** DR. RENEE LYNN STEWART (DENTIST)
- **Authorized official phone:** (412) 344-7223

## Contact information

- **Practice address:** 500 WASHINGTON RD, PITTSBURGH, PA 15228-2817
- **Practice address phone:** (412) 344-7223
- **Practice address fax:** (412) 563-2105
- **Mailing address:** 500 WASHINGTON RD, PITTSBURGH, PA 15228-2817
- **Mailing address phone:** (412) 344-7223
- **Mailing address fax:** (412) 563-2105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | — | NULL | Yes |
| 1223D0001X | Public Health Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 07/30/2019
- **Last updated:** 04/06/2022