Dr. Deryl Wayne Drum is a Shiloh, Illinois based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Deryl Wayne Drum is 021-001565 for Pediatric Dentistry in Illinois. His current practice location is 317 Tamarack Lane, Suite B, Shiloh. Patients can reach him at 618-235-1241.
Dr. Deryl Wayne Drum is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Deryl Wayne Drum speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Deryl Wayne Drum
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
317 Tamarack Lane, Suite B, Shiloh, Illinois, 62269
Phone:
618-235-1241
Fax:
618-235-7470
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1871668319
NPI Enumeration Date:
21 Nov, 2006
NPI Last Update On:
29 Aug, 2013
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Deryl Wayne Drum are as mentioned below.
License Number
Specialization
State
Status
021-001565
Pediatric Dentistry
Illinois
Primary
019021404
Dentistry
Illinois
Secondary
021001565
Pediatric Dentistry
Illinois
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Deryl Wayne Drum such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1001718
Medicaid
Illinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
317 Tamarack Lane, Suite B Shiloh, Illinois
Zip:
62269
Phone Number:
618-628-4400
Fax Number:
618-628-4411
Patients can reach Dr. Deryl Wayne Drum at 317 Tamarack Lane, Suite B, Shiloh, Illinois or can call to book an appointment on 618-235-1241. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.