Keith Allen Evans, D.M.D., M.S.
Endodontics · Bloomington, IL
Practice location
113 N Regency DrBloomington, IL 61701-3515
- Phone
- (309) 661-8900
- Fax
- (309) 661-8118
NPI record
- NPI
- 1215009923
- Entity type
- Individual (Type 1)
- Enumeration date
- November 15, 2006
- Last updated
- March 12, 2014
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Endodontics Primary | 1223E0200X |
021-002108 | IL |
| Dentist | 122300000X |
19-025805 | IL |
| Dentist | 122300000X |
7391 | NC |
About Dr. Evans
Keith Allen Evans, D.M.D., M.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Endodontics (code 1223E0200X). The practice location is 113 N Regency Dr, Bloomington, IL 61701-3515. The NPI number 1215009923 was assigned on November 15, 2006 and the record was last updated on March 12, 2014.
Dr. Evans lists 3 licenses in the registry: #021-002108 (IL) for Endodontics; #19-025805 (IL) for Dentist; #7391 (NC) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Keith Allen Evans, D.M.D., M.S.?
The NPI number is 1215009923.
What is the phone number of Dr. Evans?
The phone number listed for the practice location is (309) 661-8900.
Where is Dr. Evans located?
113 N Regency Dr, Bloomington, IL 61701-3515.
What is the taxonomy code for Dr. Evans?
The primary taxonomy code is 1223E0200X – Endodontics; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Endodontics providers in Bloomington
- Endodontic Specialists LLC3601 General Electric Road
- Evans Endodontics, P.C.208 N Williamsburg Dr
- Endodontists of Illinois113 N Regency Dr
- Seth Thomas Barnett, DMD3601 General Electric Rd Ste 6
- Steven Mark Sieraski, D.D.S.3601 General Electric Rd