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DR. EVAN BOOTH DDS
NPI 1851049530
Dentist in Homer Glen, IL

Active since March 12, 2022
12635 W 143RD ST, HOMER GLEN, IL 60491(708) 301-0005 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2025, Mar 12, 2022 (2 updates tracked since 2022).

About Dr. Evan Booth Dds NPPES

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

DR. EVAN BOOTH DDS (NPI 1851049530) is an individual dentist in Homer Glen, Illinois, licensed in Illinois (019.033091) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1851049530
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. EVAN BOOTHCredential: DDS
Location Address12635 W 143RD STHomer Glen, IL 60491-8381
Mailing Address12635 W 143rd StHomer Glen, IL 60491-8381
Phone(708) 301-0005
Sole ProprietorNo
Enumeration DateMarch 12, 2022
Last NPPES UpdateDecember 3, 20252 updates tracked since enumeration
NPPES CertifiedDecember 3, 2025
✔ NPI 1851049530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019.033091
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
12635 W 143RD ST, Homer Glen, IL 60491
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Other Providers at the Same Location NPPES 5

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

DR. RYAN ELSTON BOOTH DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
12635 W 143RD ST
HOMER GLEN, IL 60491
Will County (708) 301-0005
BARRY E. BOOTH, D.D.S., M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
12635 W 143RD ST
HOMER GLEN, IL 60491
Will County (708) 301-0005
DR. BARRY E BOOTH D.D.S., M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
12635 W 143RD ST
HOMER GLEN, IL 60491
Will County (708) 301-0005
BOOTH ORTHODONTICS LLC
Dentist (Orthodontics and Dentofacial Orthopedics)
12635 W 143RD ST
HOMER GLEN, IL 60491
Will County (708) 301-0005
BOOTH ORTHODONTICS OF HOMER GLEN LLP
Dentist (Orthodontics and Dentofacial Orthopedics)
12635 W 143RD ST
HOMER GLEN, IL 60491
Will County (708) 301-0005

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 Evan Booth's NPI number?

The NPI number for Evan Booth is 1851049530. It was assigned to this individual provider in the NPPES registry on March 12, 2022.

Where is Evan Booth located?

Evan Booth practices at 12635 W 143rd St, Homer Glen, IL 60491. The listed phone number is (708) 301-0005.

What is Evan Booth's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Evan Booth was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.