| Evans Endodontics, P.C. | |
|
208 N Williamsburg Dr Bloomington IL 61704-3571 | |
| (309) 661-8900 | |
| (309) 661-8118 |
| Full Name | Evans Endodontics, P.C. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 208 N Williamsburg Dr, Bloomington, Illinois |
| Authorized Official Name and Position | Keith Allen Evans (PRESIDENT) |
| Authorized Official Contact | 3096618900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evans Endodontics, P.C. 208 N Williamsburg Dr Bloomington IL 61704-3571 Ph: (309) 661-8900 | Evans Endodontics, P.C. 208 N Williamsburg Dr Bloomington IL 61704-3571 Ph: (309) 661-8900 |
| NPI Number | 1245415348 |
|---|---|
| Provider Enumeration Date | 01/08/2008 |
| Last Update Date | 01/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245415348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 21002108 (Illinois) | Primary |
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