Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215009923 Individual Practitioner Male Practitioner

Dr. Keith Allen Evans , DMD, MS

Dentist - Endodontics • Bloomington, IL

Professional Overview & Biography Verified Profile Summary

Dr. Keith Evans, DMD, MS is a registered healthcare professional specializing in Dentist - Endodontics in Bloomington, IL. Practice services are available at 113 N REGENCY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

113 N Regency Dr

Bloomington, IL 617013515

Telephone 3096618900
Fax 3096618118
Associated Practice Facility / Clinic
🏢 Endodontists Of Illinois Facility NPI 1396164398

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Bloomington, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Bloomington, IL (222 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License IL 021-002108

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License IL 19-025805

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License NC 7391

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 12, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 12, 2014

Registered at 113 N REGENCY DR, BLOOMINGTON, IL 617013515 (Tel: 3096618900)

📍
Updated Business Mailing Address March 12, 2014

Registered at 113 N REGENCY DR, BLOOMINGTON, IL 617013515 (Tel: 3096618900)

👤
Provider Name / Credentials Updated March 12, 2014

Recorded as KEITH EVANS, D.M.D., M.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2014

Dentist (License #7391 in NC)

🟢
Initial NPI Registration & Enumeration November 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215009923
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 15, 2006
Last Update: March 12, 2014
Sole Proprietor: Yes

Mailing Address

113 N Regency Dr

Bloomington, IL 617013515

Phone: 3096618900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.