DR. ANDREW LOGAN DECKER


Address: 1700 S Lincoln Ave, Lebanon, PA 17042-7529
Phone: 7173183924

DR. ANDREW LOGAN DECKER (NPI# 1114420916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114420916
Entity Type Individual
Full Name DR. ANDREW LOGAN DECKER
Credential DMD
Practice Address 1700 S Lincoln Ave
Lebanon
PA 17042-7529
Practice Telephone 7173183924
Enumeration Date 2018-03-18
Last Update Date 2020-08-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
DS041326 PA Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
312 Wheatstone Ln, Lebanon, PA 170427672 7173183924

Other Providers ANDREW DECKER

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1033724927 Andrew Decker Behavior Technician 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 2020-09-09
1740837012 Andrew Decker Counselor 1175 E Main St Ste C1, Medford, OR 97504-7457 2019-08-21
1548829336 Andrew Decker Nurse Practitioner 3534 S 6000 W, West Valley City, UT 84128-2698 2019-06-06
1265547236 Andrew D Decker Psychiatry & Neurology 210 Westchester Ave, White Plains, NY 10604-2901 2006-08-20

Office Location

Street Address 1700 S LINCOLN AVE
City LEBANON
State PA
Zip Code 17042-7529

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881680015 Michael L Heck Jr. Nurse Anesthetist, Certified Registered 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2005-09-22
1972115806 Carolyn L Ringler Registered Nurse 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2020-08-21
1962014225 Tracy Lukasiewicz Optometrist 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2020-08-18
1821609512 Ida Frances Carvell Recreation Therapist 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2020-08-14
1134730153 Brandon Cory Vanderbrook Recreation Therapist 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2020-08-13
1588275671 Emilie Shuler Recreation Therapist 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2020-08-12
1578174637 Sybil Irene Stambaugh Recreation Therapist 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2020-08-12
1831700954 Joseph Magnusson Jr. Recreation Therapist 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2020-08-12
1275150559 Alexa Nicole Spennato Dentist 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2020-07-02
1871110312 Evan Cauterucci Dentist 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2020-07-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023676384 Sandra L Pistone Registered Nurse 905 S. 2nd Ave, Lebanon, PA 17042 2019-06-03
1154848414 Kihc, LLC Home Health 900-c Centerville Road, Suite C, Lancaster, PA 17042 2017-08-28
1316301724 Good Samaritan Physician Services Radiology 844 Tuck Street, Lebanon, PA 17042 2016-04-12
1609265883 Ashley Hess Behavioral Analyst 15th South 9th Street, Lebanon, PA 17042 2015-01-12
1932504727 Anthony Salvadore Petrole Physician Assistant 252 4th Street, Lebanon, PA 17042 2014-10-23
1801209713 Matthew Johnson Family Medicine 920 Church Street, Lebanon, PA 17042 2014-06-09
1437414505 Odalys Gonzalez-rodriguez Physical Therapist 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 2012-07-05
1750677175 Anita Lyn Stokes Speech-Language Pathologist 1126 Walnut Street, Lebanon, PA 17042 2011-06-23
1205126497 Karey Lynn Foote Pharmacist 415 S. 9th St, Lebanon, PA 17042 2011-04-09
1013227685 T. W. Ponessa and Associates Counseling Services, Inc. Community/Behavioral Health 101 E. Evergreen Road, Lebanon, PA 17042 2010-10-18
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902414436 University Smiles LLC Dentist 229 W Saint Louis St # Sr, Lebanon, IL 62254-1515 2020-07-21
1962020693 Rachel Hancock Dentist 367 Nh 120, Lebanon, NH 03766-1430 2020-07-09
1386295434 Zarna Patel Dentist 1451 Quentin Rd Ste 300, Lebanon, PA 17042-7562 2019-09-20
1932639044 Carson James Stroyan Dentist 11 Eldridge St Ste 300, Lebanon, NH 03766-1022 2017-06-13
1083142483 Horton Scott Li Dentist 604 S Cumberland St Ste 200, Lebanon, TN 37087-4794 2017-05-30
1548712151 Patel Dental Group of Upper Valley Dentist 11 Eldridge St, Suite #300, Lebanon, NH 03766-1022 2016-10-30
1235584913 Temicka Terrell Dentist 1037 W Main St Ste E, Lebanon, TN 37087-3356 2016-04-29
1215340880 Eriks Dental, PC Dentist 1338 S Lebanon St Ste 100, Lebanon, IN 46052-2792 2014-06-11
1497043178 Jacob Eldon Frazier Dentist 110 Wakanda Dr, Lebanon, IL 62254-1393 2011-07-15
1740592633 John David Hirce Dentist 367 Route 120 Unit D, Lebanon, NH 03766-1430 2010-07-08
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Competitor

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City LEBANON
Zip Code 17042

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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