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Dr. Richard Myron Decker, DMD
Periodontist in Lakewood, Washington
NPI 1730250903

Richard Myron Decker is a Periodontist based in Lakewood, WA and is specialized in Periodontics. Richard Myron Decker practices in Lakewood, WA and has the professional credentials of DMD. The NPI Number for Richard Myron Decker is 1730250903 and holds a License No. 05991 (Washington).

The current practice location address for Richard Myron Decker is 7402 Custer Rd W, Lakewood, WA and can be reached out via phone at 253-471-2222 and via fax at 253-476-2647. You can also correspond with Richard Myron Decker through the mailing address at 7402 CUSTER RD W, LAKEWOOD, WA - 98499-7944 (mailing address contact number: 253-471-2222).

Location: 7402 Custer Rd W, Lakewood, WA, 98499-7944
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730250903
Provider Name
Richard Myron Decker
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
7402 Custer Rd W, Lakewood, WA, 98499-7944
Phone Number
253-471-2222
Fax Number
253-476-2647
Provider Enumeration Date
11/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05991 01 WA DETAL LICENSE
institution
Provider Business Practice Location Address Details
Address
7402 Custer Rd W
City
Lakewood
State
Washington
Zip
98499-7944
Phone Number
253-471-2222
Fax Number
253-476-2647
person
Provider Business Mailing Address Details
Address
7402 Custer Rd W
City
Lakewood
State
Washington
Zip
98499-7944
Phone Number
253-471-2222
Fax Number
253-476-2647
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
05991 (Washington)
Definition
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.
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