Dr Keith Allen Evans, DMD, MS - Dentist in Bloomington, IL

Dr Keith Allen Evans, DMD, MS is a Dentist - Endodontics based in Bloomington, Illinois. Dr Keith Allen Evans is licensed to practice in Illinois (license number 021-002108) and his current practice location is 113 N Regency Dr, Bloomington, Illinois. He can be reached at his office (for appointments etc.) via phone at (309) 661-8900.

NPI number for Dr Keith Allen Evans is 1215009923 and his current mailing address is 113 N Regency Dr, Bloomington, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215009923.

Contact Information

Dr Keith Allen Evans, DMD, MS
113 N Regency Dr,
Bloomington, IL 61701-3515
(309) 661-8900
(309) 661-8118

Map and Direction




Healthcare Provider's Profile

Full NameDr Keith Allen Evans
GenderMale
SpecialityDentist - Endodontics
Location113 N Regency Dr, Bloomington, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1215009923
  • Provider Enumeration Date: 11/15/2006
  • Last Update Date: 03/12/2014

Medical Identifiers

Medical identifiers for Dr Keith Allen Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215009923NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 19-025805 (Illinois)Secondary
122300000XDentist 7391 (North Carolina)Secondary
1223E0200XDentist - Endodontics 021-002108 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Keith Allen Evans is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Keith Allen Evans, DMD, MS
113 N Regency Dr,
Bloomington, IL 61701-3515

Ph: (309) 661-8900
Dr Keith Allen Evans, DMD, MS
113 N Regency Dr,
Bloomington, IL 61701-3515

Ph: (309) 661-8900

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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