Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Keith Allen Evans, DMD, MS

Individual provider Dentist · NPI 1215009923

Dr. Keith Allen Evans, DMD, MS is a Dentist in Bloomington, Illinois. Practices as a sole proprietor. Licensed in Illinois and North Carolina.

Licensed in
IL, NC
In the registry since
2006
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

113 N Regency Dr
Bloomington, IL 61701-3515
Phone: (309) 661-8900
Fax: (309) 661-8118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 021-002108 (IL)
Dentist Taxonomy 122300000X · Licence 19-025805 (IL)
Dentist Taxonomy 122300000X · Licence 7391 (NC)

Record details

NPI number1215009923
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , MS
Sole proprietorYes
NPI enumeratedNovember 15, 2006
Last updated in NPPESMarch 12, 2014

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