Organization
EVERGREEN SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANNER WEEKS DMD (OWNER/DENTIST)
(770) 876-5404
Entity
Organization
Contact information
Practice address
289 E ELLENDALE AVE STE 201, DALLAS, OR 97338-1541
(770) 876-5404
Mailing address
7015 RIVA RIDGE DR SE, TURNER, OR 97392-9455
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881433670
—
UT
Enumeration date
05/19/2025
Last updated
05/19/2025
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