Evans Endodontics, P.C.

LBN: Evans Endodontics, P.C.
Evans Endodontics, P.C. is an health care organization with primary practice located at 208 N Williamsburg Dr , Bloomington IL 61704-3571. The organization recently has only one registered license in Dental Providers / Endodontics, which is considered as the primary health care specialty. Evans Endodontics, P.C. can be contacted via phone (309) 661-8900, or through Evans, Keith Allen via phone (309) 661-8900.

Contact Information

Primary practice address
208 N Williamsburg Dr Bloomington IL 61704-3571
Fax: (309) 661-8118
Website:
Authorized official contact:
Name: Evans, Keith Allen D.M.D., M.S.

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 21002108 Illinois

Profile Details

NPI number 1245415348
LBN Legal business name Evans Endodontics, P.C.
DBA Doing business as
Authorized official Evans, Keith Allen D.M.D., M.S.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2008
Last updated Jan 8th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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