Dr. Justin Henry Deckard, D.M.D.
Dentist, General Practice in Washington, DC. Individual provider (NPI-1).
NPI number1366733461
StatusActive
Last updated in NPPESMay 15, 2016
Details
- NPI
- 1366733461
- Entity type
- Individual (NPI-1)
- Name
- Dr. Justin Henry Deckard
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 22, 2011
- Last updated
- May 15, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 15175 | MD | Yes |
| 1223G0001X | Dentist, General Practice | DEN1001339 | DC |
Practice location
1712 Eye St NwSuite 710
Washington, DC 20006-3702
Phone 202-659-1227 · Fax 202-833-2632
Mailing address
1712 Eye St NwSuite 710
Washington, DC 20006-3702
Phone 202-659-1227 · Fax 202-833-2632
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