Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DERYL WAYNE DRUM, DDS
ActiveDR. DERYL WAYNE DRUM, DDS is a Pediatric Dentistry healthcare provider located in SHILOH, Illinois. NPI 1871668319 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · SHILOH, IL
Registration Details
- NPI Number
- 1871668319
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 21, 2006 (19.756889816178 yrs)
- Last Updated
- Aug 29, 2013
- Licenses
-
019021404 (IL)021001565 (IL)021-001565 (IL)
Practice Information
- Address
-
317 TAMARACK LANESUITE BSHILOH, IL, 62269Browse IL providers · Browse ZIP 62269
- Phone
- 6182351241
- Fax
- 6182357470
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
- Additional Specialty
- Pediatric Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.