Individual
DR. JOHN FREDERICK DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
BLDG 4431 68TH STREET, USA DENTAC, FT HOOD, TX 76544
(254) 287-2705
(254) 287-1786
Mailing address
BLDG 4431 68TH STREET, USA DENTAC, FT HOOD, TX 76544
(254) 287-2705
(254) 287-1786
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
26265
TX
1223G0001X
General Practice Dentistry
DN013362
GA
1223P0300X
Periodontics
Primary
26565
TX
1223P0300X
Periodontics
DNO13362
GA
Other
Enumeration date
08/10/2006
Last updated
05/23/2017
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