DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DEREK JOHN SKOUSEN, DDS

Active

DR. DEREK JOHN SKOUSEN, DDS is a Dentist healthcare provider located in JBSA-LACKLAND, Texas. NPI 1366184947 is currently active in the NPPES registry. Verify at CMS.

Dentist · JBSA-LACKLAND, TX

Registration Details

NPI Number
1366184947
Provider Type
Individual
Gender
Male
NPI Issued
Apr 12, 2022 (4.3305769165389 yrs)
Last Updated
Jul 23, 2025
License
D011512 (AZ)

Practice Information

Address
59 DG-AF POSTGRADUATE DENTAL SCHOOL
2133 PEPPERRELL STREET, BUILDING 3352
JBSA-LACKLAND, TX, 782365313
Browse TX providers · Browse ZIP 78236
Phone
2102926258
Primary Specialty
Dentist
122300000X

Other Dentist Providers in JBSA-LACKLAND, TX

Name Credential NPI
DR. ABBY JOANNA SHANNON DDS 1235391772
DR. DAVID KENNETH SCHINDLER DDS, MPH, FAGD 1497981443
ERIK ANDERSON DDS 1225343452
CHRISTIANA RHODES DMD 1033794730
CLAYTON BOOTH DDS 1518696806
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.