Derrick L. Richard, DMD
General Practice Dentistry · Waterloo, IL
Practice location
226 Westview Plaza Dr.Waterloo, IL 62298-1253
- Phone
- (618) 939-4042
- Fax
- (618) 939-5404
NPI record
- NPI
- 1083757702
- Entity type
- Individual (Type 1)
- Enumeration date
- February 14, 2007
- Last updated
- April 19, 2015
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
019-024830 | IL |
About Dr. Richard
Derrick L. Richard, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 226 Westview Plaza Dr., Waterloo, IL 62298-1253. The NPI number 1083757702 was assigned on February 14, 2007 and the record was last updated on April 19, 2015.
Dr. Richard lists a license in the registry: #019-024830 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Derrick L. Richard, DMD?
The NPI number is 1083757702.
What is the phone number of Dr. Richard?
The phone number listed for the practice location is (618) 939-4042.
Where is Dr. Richard located?
226 Westview Plaza Dr., Waterloo, IL 62298-1253.
What is the taxonomy code for Dr. Richard?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other General Practice Dentistry providers in Waterloo
- Dr Darryll L Beard DMD LTD208 Bradford Lane
- Laura E. Sorbel Beabout, DMD208 Bradford Ln
- Darryll Leonard Beard, DMD208 Bradford Lane
- Bradley W. Mitchell, DMD413 W 3rd St
- Charles Richard Holmen, DMD208 Bradford Lane