Individual
DR. JAMES R. DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
109 WAPPOO CREEK DR, 4A, CHARLESTON, SC 29412-2135
(843) 795-0231
(843) 795-0223
Mailing address
109 WAPPOO CREEK DR, 4A, CHARLESTON, SC 29412-2135
(843) 795-0231
(843) 795-0223
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2101
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z21012
—
SC
Enumeration date
12/13/2006
Last updated
07/09/2007
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