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DR. KEITH ALLEN EVANS D.M.D., M.S.
NPI 1215009923
Dentist - Endodontics in Bloomington, IL

Active since November 15, 2006
113 N REGENCY DR, BLOOMINGTON, IL 61701(309) 661-8900(309) 661-8118 Get Directions Write a Review

NPPES record last updated: March 12, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Keith Allen Evans D.m.d., M.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEITH ALLEN EVANS D.M.D., M.S. (NPI 1215009923) is an individual endodontics provider in Bloomington, Illinois, licensed in Illinois (021-002108) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1215009923
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. KEITH ALLEN EVANSCredential: D.M.D., M.S.
Location Address113 N REGENCY DRBloomington, IL 61701-3515
Mailing Address113 N Regency DrBloomington, IL 61701-3515 · (309) 661-8900 · Fax (309) 661-8118
Phone(309) 661-8900
Fax(309) 661-8118
Sole ProprietorYes
Enumeration DateNovember 15, 2006
Last NPPES UpdateMarch 12, 2014
✔ NPI 1215009923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in IL · 021-002108
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Also ListedDentistTaxonomy 122300000X · License 19-025805 (IL), 7391 (NC)
113 N REGENCY DR, Bloomington, IL 61701
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ENDODONTISTS OF ILLINOIS
Dentist (Endodontics)
113 N REGENCY DR
BLOOMINGTON, IL 61701
McLean County (309) 661-8900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Evans's NPI number?

The NPI number for Keith Evans is 1215009923. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Keith Evans located?

Keith Evans practices at 113 N Regency Dr, Bloomington, IL 61701. The listed phone number is (309) 661-8900.

What is Keith Evans's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Keith Evans was last updated on March 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.