Derek John Skousen, DDS

Dentist · Jbsa-Lackland, TX

Individual Active NPI

NPI number 1366184947

Practice location

59 DG-Af Postgraduate Dental School
2133 Pepperrell Street, Building 3352
Jbsa-Lackland, TX 78236-5313
Phone
(210) 292-6258

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NPI record

NPI
1366184947
Entity type
Individual (Type 1)
Enumeration date
April 12, 2022
Last updated
July 23, 2025
Certified
July 14, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D011512 AZ

Mailing address

8218 Lindeman Pass
San Antonio, TX 78254-2286
Phone
(415) 980-9336

Other practice locations (2)

  • 2437 E Minton St, Mesa, AZ 85213-1502 · (415) 980-9336
  • 300 Twining St Bldg 760, Maxwell AFB, AL 36112-6027 · (334) 953-5200

About Dr. Skousen

Derek John Skousen, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 59 DG-Af Postgraduate Dental School, 2133 Pepperrell Street, Building 3352, Jbsa-Lackland, TX 78236-5313. The NPI number 1366184947 was assigned on April 12, 2022 and the record was last updated on July 23, 2025.

Dr. Skousen lists a license in the registry: #D011512 (AZ) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Derek John Skousen, DDS?

The NPI number is 1366184947.

What is the phone number of Dr. Skousen?

The phone number listed for the practice location is (210) 292-6258.

Where is Dr. Skousen located?

59 DG-Af Postgraduate Dental School, 2133 Pepperrell Street, Building 3352, Jbsa-Lackland, TX 78236-5313.

What is the taxonomy code for Dr. Skousen?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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