Keith A. Evans, D.M.D., M.S.
Endodontics · Bloomington, IL
UnclaimedD.M.D., M.S.NPI 1215009923
- Primary taxonomy
- 1223E0200X
- Enumerated
- 2006-11-15
- Practice location
- Bloomington, IL
- Last NPPES update
- 2014-03-12
State licenses
- IL · Dentist · NPPES self-reportedListed on NPI record
- IL · Dentist · NPPES self-reportedListed on NPI record
- NC · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.