Individual
DR. DEREK JOHN SKOUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
59 DG-AF POSTGRADUATE DENTAL SCHOOL, 2133 PEPPERRELL STREET, BUILDING 3352, JBSA-LACKLAND, TX 78236-5313
(210) 292-6258
Mailing address
8218 LINDEMAN PASS, SAN ANTONIO, TX 78254-2286
(415) 980-9336
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D011512
AZ
Other
Enumeration date
04/12/2022
Last updated
07/23/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us