DR. Deryl Wayne Drum, DDS

NPI #1871668319 in Shiloh, Illinois

Provider Information

NPI Number: 1871668319
Entity Type: Individual
Name: DR. Deryl Wayne Drum, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 21, 2006
Last Updated: Aug 29, 2013

Practice Location

Address: 317 TAMARACK LANE
Address 2: SUITE B
City: Shiloh
State: Illinois
ZIP Code: 62269
Phone: (618) 235-1241

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X

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