IndividualActive
Darryll Beard, DMD
NPI 1265554067 · General Practice Dentistry · Waterloo, IL
Provider details
- NPI number
- 1265554067
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Dental Providers
Practice location
208 Bradford Lane
Waterloo, IL 62298
Phone: (618) 939-7181
Fax: (618) 939-4500
Approximate (ZIP-level) locationGet directions
Mailing address
208 Bradford Lane
Waterloo, IL 62298
Registry dates
- Enumerated
- 2007-04-04
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.