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Derrick L Richard, DMD
General Practice Dentistry in Waterloo, Illinois
NPI 1083757702

Derrick L Richard is a General Practice Dentistry based in Waterloo, IL and is specialized in General Practice. Derrick L Richard practices in Waterloo, IL and has the professional credentials of DMD. The NPI Number for Derrick L Richard is 1083757702 and holds a License No. 019-024830 (Illinois).

The current practice location address for Derrick L Richard is 226 Westview Plaza Dr., Waterloo, IL and can be reached out via phone at 618-939-4042 and via fax at 618-939-5404. You can also correspond with Derrick L Richard through the mailing address at 226 WESTVIEW PLAZA DR., WATERLOO, IL - 62298-1253 (mailing address contact number: 618-939-4042).

Location: 226 Westview Plaza Dr., Waterloo, IL, 62298-1253
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083757702
Provider Name
Derrick L Richard
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
226 Westview Plaza Dr., Waterloo, IL, 62298-1253
Phone Number
618-939-4042
Fax Number
618-939-5404
Provider Enumeration Date
02/14/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
226 Westview Plaza Dr.
City
Waterloo
State
Illinois
Zip
62298-1253
Phone Number
618-939-4042
Fax Number
618-939-5404
person
Provider Business Mailing Address Details
Address
226 Westview Plaza Dr.
City
Waterloo
State
Illinois
Zip
62298-1253
Phone Number
618-939-4042
Fax Number
618-939-5404
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019-024830 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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