Individual provider · Type 1 NPI

Evan Booth, DDS

Dentist · Homer Glen, IL

NPI number 1851049530 Active

Practice location

12635 W 143rd St
Homer Glen, IL 60491-8381

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X019.033091 (IL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1851049530

Evan Booth, DDS's National Provider Identifier is 1851049530, issued on Mar 12, 2022. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Homer Glen, IL. The record was last updated on Dec 3, 2025.