SearchTexas122300000X

Derek Skousen, DDS

NPI 1366184947 · on the registry since 2022

Practice

Address
59 Dg-Af Postgraduate Dental School
2133 Pepperrell Street, Building 3352
Jbsa-Lackland, TX 78236
Phone
(210) 292-6258
Clinicians at this address
2

Additional practice sites

  • 2437 E Minton St, Mesa, AZ
  • 300 Twining St Bldg 760, Maxwell Afb, AL

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-07-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas