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

Dr. Richard Keith Usedom, DDS

Individual provider Dentist · NPI 1922263607

Dr. Richard Keith Usedom, DDS is a Dentist in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

6050 Brynwood Dr Ste 106
Rockford, IL 61114-6579
Phone: (815) 877-3565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019018382 (IL)

Record details

NPI number1922263607
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 22, 2008
Last updated in NPPESJuly 22, 2008
Mailing address6050 Brynwood Dr Ste 106, Rockford, IL 61114-6579

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