Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1851049530 Individual Practitioner Male Practitioner

Dr. Evan Booth , DDS

Dentist • Homer Glen, IL

Professional Overview & Biography Verified Profile Summary

Dr. Evan Booth, DDS is a registered healthcare professional specializing in Dentist in Homer Glen, IL. Practice services are available at 12635 W 143RD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12635 W 143rd St

Homer Glen, IL 604918381

Telephone 7083010005
Associated Practice Facility / Clinic
🏢 Barry E. Booth, D.d.s., M.s. Facility NPI 1740329093

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Homer Glen, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
5 Specialists

Practicing in Homer Glen, IL (4751 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

CMS Verified: 2025-12-03
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019.033091

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Ryan Booth , DDS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1578036638

Doctor of Dental Surgery

Dr. Barry Booth , DDS, MS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1770629065

Doctor of Dental Surgery, Master of Science

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 03, 2025

Registered at 12635 W 143RD ST, HOMER GLEN, IL 604918381 (Tel: 7083010005)

📍
Updated Business Mailing Address December 03, 2025

Registered at 12635 W 143RD ST, HOMER GLEN, IL 604918381

NPI Profile Active March 12, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 12, 2022

Registered at 801 S PAULINA ST RM 131, CHICAGO, IL 606127210 (Tel: 3129967138)

📍
Updated Business Mailing Address March 12, 2022

Registered at 801 S PAULINA ST RM 131, CHICAGO, IL 606127210

👤
Provider Name / Credentials Updated March 12, 2022

Recorded as EVAN BOOTH, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2022

Dentist (License #019.033091 in IL)

🟢
Initial NPI Registration & Enumeration March 12, 2022

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: 1851049530
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 12, 2022
Last Update: December 03, 2025
Sole Proprietor: No

Mailing Address

12635 W 143rd St

Homer Glen, IL 604918381

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.