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Contact Information

EVANS ENDODONTICS, P.C.
208 N WILLIAMSBURG DR
BLOOMINGTON, IL61704-3571
 Phone: 309-661-8900
 Fax: 309-661-8118
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for EVANS ENDODONTICS PC · (Female)

NPI # 1245415348
Status Active
Credentials
Entity Individual
Enumeration date 01/08/2008
Last updated 01/08/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 21002108
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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