Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083757702 Individual Practitioner Male Practitioner

Dr. Derrick L Richard , DMD

Dentist - General Practice • Waterloo, IL

Professional Overview & Biography Verified Profile Summary

Dr. Derrick Richard, DMD is a registered healthcare professional specializing in Dentist - General Practice in Waterloo, IL. Practice services are available at 226 WESTVIEW PLAZA DR. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

226 Westview Plaza Dr.

Waterloo, IL 622981253

Telephone 6189394042
Fax 6189395404
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Waterloo, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
5 Specialists

Practicing in Waterloo, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019-024830

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Dwight Heberer , DMD

Durable Medical Equipment & Medical Supplies - Customized Equipment

NPI 1083786909

Doctor of Dental Medicine

Dr. Michael Murphy , DMD

Dentist - General Practice

NPI 1619997640

Doctor of Dental Medicine

Dr. John Blattner , DMD

Durable Medical Equipment & Medical Supplies - Customized Equipment

NPI 1720008329

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 19, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 19, 2015

Registered at 226 WESTVIEW PLAZA DR., WATERLOO, IL 622981253 (Tel: 6189394042)

📍
Updated Business Mailing Address April 19, 2015

Registered at 226 WESTVIEW PLAZA DR., WATERLOO, IL 622981253 (Tel: 6189394042)

👤
Provider Name / Credentials Updated April 19, 2015

Recorded as DERRICK RICHARD, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2015

Dentist (License #019-024830 in IL)

🟢
Initial NPI Registration & Enumeration February 14, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083757702
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 14, 2007
Last Update: April 19, 2015
Sole Proprietor: No

Mailing Address

226 Westview Plaza Dr.

Waterloo, IL 622981253

Phone: 6189394042

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.