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Contact Information

DECKER FAMILY DENTAL, PC
4647 W 103RD ST STE 1D
OAK LAWN, IL60453-4792
 Phone: 708-422-6500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
 

Dental

261QD0000X
Indicates primary specialty

NPI Profile & details for DECKER FAMILY DENTAL PC · (Female)

NPI Number 1558984427
Status Active
Credentials
Entity Individual
Enumeration date 05/26/2020
Last updated 06/06/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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