DR. RICHARD MYRON DECKER DMD NPI 1730250903

NPI Information

NPI: 1730250903
Provider Name: DR. RICHARD MYRON DECKER, DMD
Classification: Dentist - 1223P0300X
Entity Type: Individual

Specialization: Periodontics

Address:
7402 CUSTER RD W
SUITE 101
LAKEWOOD, WA
ZIP 98499
Phone: (253) 471-2222
Get Directions

DR. Richard Myron Decker, DMD is a periodontics dentist in Lakewood, WA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Richard Myron Decker, DMD NPI is 1730250903. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7402 CUSTER RD W
SUITE 101
LAKEWOOD, WA
ZIP 98499-944
Phone: (253) 471-2222
Fax: (253) 476-2647

The enumeration date for this NPI number is 11/10/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0300X	Dentist	Periodontics	05991	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	05991	OTHER	WASHINGTON	DETAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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