Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derrick L Richard, DMD

Individual provider General Practice Dentistry · NPI 1083757702

Derrick L Richard, DMD is a General Practice Dentistry in Waterloo, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

226 Westview Plaza Dr
Waterloo, IL 62298-1253
Phone: (618) 939-4042
Fax: (618) 939-5404
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019-024830 (IL)

Record details

NPI number1083757702
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedFebruary 14, 2007
Last updated in NPPESApril 19, 2015
Mailing address226 Westview Plaza Dr., Waterloo, IL 62298-1253

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