DR. Derek John Skousen, DDS

NPI #1366184947 in Jbsa-Lackland, Texas

Provider Information

NPI Number: 1366184947
Entity Type: Individual
Name: DR. Derek John Skousen, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Apr 12, 2022
Last Updated: Jul 23, 2025

Practice Location

Address: 59 DG-AF POSTGRADUATE DENTAL SCHOOL
Address 2: 2133 PEPPERRELL STREET, BUILDING 3352
City: Jbsa-Lackland
State: Texas
ZIP Code: 78236-5313
Phone: (210) 292-6258

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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