Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1366486284 Deactivated / Inactive NPI Male Practitioner

Dr. Philip James Eversman , DDS

Dentist - General Practice • Avon, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Philip Eversman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 15, 2006
NPI Deactivation Date August 10, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Philip Eversman, DDS was a registered Dentist - General Practice practicing in Avon, IN. Throughout an active medical career spanning 11 years, Dr. Eversman provided care at the practice location at 5201 E US HIGHWAY 36 until profile deactivation on 2017-08-10.

Practice Location & Contact Primary Location

Practice Address

5201 E Us Highway 36
Suite 400

Avon, IN 461239160

Telephone 3177456355
Fax 3177457929
Associated Practice Facility / Clinic
🏢 Velez Dental Group, Llc Facility NPI 1417337569

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Avon, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
13 Specialists

Practicing in Avon, IN (2204 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IN 12007232

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1508245036

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 10, 2017

Record deactivated on August 10, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 5201 E US HIGHWAY 36, SUITE 400, AVON, IN 461239160 (Tel: 3177456355)

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Updated Business Mailing Address July 08, 2007

Registered at 5201 E US HIGHWAY 36, SUITE 400, AVON, IN 461239160 (Tel: 3177456355)

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Provider Name / Credentials Updated July 08, 2007

Recorded as PHILIP EVERSMAN, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #12007232 in IN)

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Initial NPI Registration & Enumeration June 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: 1366486284
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2006
Last Update: July 08, 2007
Deactivation Date: August 10, 2017

Mailing Address

5201 E Us Highway 36, Suite 400

Avon, IN 461239160

Phone: 3177456355

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.