Evergreen Dental, Inc.
NPI 1396343133ActiveOrganization· Dentist· Arlington Heights, IL
Dentist in Arlington Heights, Illinois, registered in NPPES in October 2020. The authorized official on file is Timothy P. Bashford, DDS, Owner/Dentist.
Overview
| NPI | 1396343133 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 14, 2020 |
| Last updated in NPPES | Sep 20, 2023 |
| Certified by provider | Sep 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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