Decker, James R.

Decker, James R. is an sole proprietor health care provider with primary practice located at 109 Wappoo Creek Dr 4A, Charleston SC 29412-2135. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Decker, James R. can be contacted via phone (843) 795-0231.

Contact Information

Primary practice address
109 Wappoo Creek Dr 4A Charleston SC 29412-2135
Phone: (843) 795-0231
Fax: (843) 795-0223
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2101 South Carolina

Profile Details

NPI number 1205997921
LBN Legal business name Decker, James R.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205997921 NPPES
South Carolina MEDICAID Z21012

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