Decker, Geoffrey Todd
Decker, Geoffrey Todd is an sole proprietor health care provider with primary practice located at 4647 W 103Rd St Suite #1D, Oak Lawn IL 60453-4779. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Decker, Geoffrey Todd can be contacted via phone (708) 422-6500.Contact Information
Primary practice address
4647 W 103Rd St Suite #1D
Oak Lawn IL 60453-4779
Phone: (708) 422-6500
Fax: (708) 422-6952
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | Illinois |
Profile Details
| NPI number | 1497885750 |
|---|---|
| LBN Legal business name | Decker, Geoffrey Todd |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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