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Search › Illinois › General Practice Dentistry

Derrick Richard, DMD

NPI 1083757702 · on the registry since 2007

Practice

Address
226 Westview Plaza Dr.
Waterloo, IL 62298
Phone
(618) 939-4042
Fax
(618) 939-5404
Organisation at this address
Dr John F Blattner & Dr Dwight D Heberer Pc
Dr John F Blattner & Dr. Dwight D Heberer Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-04-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois