Saul Christian Evans, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6945 Issued in AL

Practice address

1303 Highway 72
Killen, AL 35645-9136

Phone

(256) 757-5313

Fax

(256) 757-5301

NPI assigned

Jul 20, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shoal Creek Dental

  • Dental Clinic/Center
  • Killen, AL
  • NPI 1194216861
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1497328231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 HIGHWAY 72",
            "city": "KILLEN",
            "state": "AL",
            "postal_code": "356459136",
            "telephone_number": "256-757-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 HIGHWAY 72",
            "city": "KILLEN",
            "state": "AL",
            "postal_code": "356459136",
            "telephone_number": "256-757-5313",
            "fax_number": "256-757-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "SAUL",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "6945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Lee Davis, LMT4652
• Kristen Lynn Devito, LPC, ADC
• Robert Lloyd Dickson, DO
• Debra Dinges, CRNP
• Ecm Health Group LLC
• Kimberly Farris, PA-C
• Marlon A Florida, MD
• For the One
• Heather Tennell Garrett, CRNP
• GH Pharmacy

• General Practice Dentistry in Killen, AL
• Providers in Killen, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.