Individual provider · Type 1 NPI

Richard Keith Usedom, DDS

Dentist · Rockford, IL

NPI number 1922263607 Active

Practice location

6050 Brynwood Dr Ste 106
Rockford, IL 61114-6579

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X019018382 (IL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1922263607

Richard Keith Usedom, DDS's National Provider Identifier is 1922263607, issued on Jul 22, 2008. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Rockford, IL. The record was last updated on Jul 22, 2008.