Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEITH ALLEN EVANS, D.M.D., M.S.
Active Sole ProprietorDR. KEITH ALLEN EVANS, D.M.D., M.S. is a Endodontics healthcare provider located in BLOOMINGTON, Illinois. NPI 1215009923 is currently active in the NPPES registry. Verify at CMS.
Endodontics · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1215009923
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 15, 2006 (19.712639886374 yrs)
- Last Updated
- Mar 12, 2014
- Licenses
-
19-025805 (IL)7391 (NC)021-002108 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
113 N REGENCY DRBLOOMINGTON, IL, 617013515Browse IL providers · Browse ZIP 61701
- Phone
- 3096618900
- Fax
- 3096618118
- Primary Specialty
-
Endodontics
1223E0200X
- Additional Specialty
- Dentist
- Additional Specialty
- Endodontics
Other Endodontics Providers in BLOOMINGTON, IL
| Name | Credential | NPI |
|---|---|---|
| DR. STEVEN MARK SIERASKI | D.D.S. | 1568664886 |
| DR. SETH THOMAS BARNETT | DMD | 1518488055 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.