James Mcclellan Deckman, DMD Valid NPI
Individual provider · General Practice Dentistry · Tyrone, GA
- NPI
- 1255354494
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 9630 (GA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-07-26
- Last updated
- 2007-07-08
Practice location
125a Commerce Dr
Tyrone, GA 30290-2034
(770) 487-8787