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OrganizationMedicare enrolled
Heritage Dental Group LLC
Doing business as Evergreen Care
Dentist, General Practice · Columbus, OH
Source: NPPES NPI RegistryFetched 2026-10-20
Public record
- NPI
- 1000000407
- Enumeration date
- 2022-04-25
- Last updated
- 2026-10-02
- Practice location
- 470 Oak AveColumbus, OH 43215
- Taxonomies
- Dentist, General Practice1223G0001XPrimary
- Website
- Not listed
- Medicare
- Enrolled