Individual provider · Type 1 NPI
Trevor Daniel Richmond, DMD
Periodontics · Dunlap, IL
NPI number
1033735089
Active
Practice location
11825 N Knoxville Ave
Dunlap, IL 61525-8842
Mailing address
7713 S Stranz Rd
Mapleton, IL 61547-9412
Other practice locations
- 530 NE Glen Oak Ave, Peoria, IL 61637-0001 · (309) 624-2411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 021.003328 (IL) |
| Dentist | 122300000X | 019.032728 (IL) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
2 other providers at this address
About NPI 1033735089
Trevor Daniel Richmond, DMD's National Provider Identifier is 1033735089, issued on Jun 24, 2020. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Dunlap, IL. The record was last updated on Aug 9, 2024.