Search › Illinois › 122300000X
Richard Usedom, DDS
NPI 1922263607 · on the registry since 2008
Practice
- Address
- 6050 Brynwood Dr Ste 106
Rockford, IL 61114 - Phone
- (815) 877-3565
- Organisation at this address
- Alex Moore, Dmd Pc
Christopher Greenwaldt, Dmd, P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-07-22
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