Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Evan Booth, DDS

Individual provider Dentist · NPI 1851049530

Dr. Evan Booth, DDS is a Dentist in Homer Glen, Illinois. Licensed in Illinois. Registered with an NPI since 2022.

Licensed in
IL
In the registry since
2022
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

12635 W 143rd St
Homer Glen, IL 60491-8381
Phone: (708) 301-0005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019.033091 (IL)

Record details

NPI number1851049530
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMarch 12, 2022
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025
Mailing address12635 W 143rd St, Homer Glen, IL 60491-8381

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