Individual
DR. CHARLES DWIGHT DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
36 PARK PLACE, BRATTLEBORO, VT 05345
(802) 254-8322
(802) 254-8322
Mailing address
36 PARK PLACE, BRATTLEBORO, VT 05345
(802) 254-8322
(802) 254-8322
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
VT569
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001830
—
VT
05
—
99001682
—
NH
Enumeration date
10/18/2006
Last updated
07/08/2007
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