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DR. DERYL WAYNE DRUM DDS
NPI 1871668319
Dentist - Pediatric Dentistry in Shiloh, IL

Active since November 21, 2006
317 TAMARACK LANE, SUITE B, SHILOH, IL 62269(618) 235-1241(618) 235-7470 Get Directions Write a Review

NPPES record last updated: August 29, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Deryl Wayne Drum Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DERYL WAYNE DRUM DDS (NPI 1871668319) is an individual pediatric dentistry provider in Shiloh, Illinois, licensed in Illinois (021-001565) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1871668319
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. DERYL WAYNE DRUMCredential: DDS
Location Address317 TAMARACK LANE, SUITE BShiloh, IL 62269
Mailing Address317 Tamarack Lane, Suite BShiloh, IL 62269 · (618) 628-4400 · Fax (618) 628-4411
Phone(618) 235-1241
Fax(618) 235-7470
Sole ProprietorNo
Enumeration DateNovember 21, 2006
Last NPPES UpdateAugust 29, 2013
✔ NPI 1871668319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in IL · 021-001565✔ Licensed in IL · 021001565
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X · License 019021404 (IL)
317 TAMARACK LANE, Shiloh, IL 62269
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Other Identifiers 1

Medicaid1001718IL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deryl Drum's NPI number?

The NPI number for Deryl Drum is 1871668319. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Deryl Drum located?

Deryl Drum practices at 317 Tamarack Lane Suite B, Shiloh, IL 62269. The listed phone number is (618) 235-1241.

What is Deryl Drum's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Deryl Drum was last updated on August 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.