Decker Family Dental, PC

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

DECKER FAMILY DENTAL, PC

Practice address

4647 W 103Rd St Ste 1D
Oak Lawn, IL 60453-4792

Phone

(708) 422-6500

NPI assigned

May 26, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vilija McWilliams

Title

Office Manager

Phone

(708) 422-6500

Specialties & licenses 2

Addresses

Other names 1

• Geoffrey T. Decker DMD Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Geoffrey Todd Decker, DMD

  • General Practice Dentistry
  • Oak Lawn, IL
  • NPI 1497885750
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1558984427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4647 W 103RD ST STE 1D",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534792",
            "telephone_number": "708-422-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4647 W 103RD ST STE 1D",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534792",
            "telephone_number": "708-422-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECKER FAMILY DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-26",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "MCWILLIAMS",
        "authorized_official_first_name": "VILIJA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "708-422-6500"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Geoffrey T. Decker DMD",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Geoffrey T. Decker DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Arthur Edward De Pesa
• Sandra Lee De Pesa, RPH
• Mary Dean, P.T.
• Kristen Nicole Deangelis, PA
• Deborah a Czupek
• Eugene Charles Decker, DDS
• Geoffrey Todd Decker, DMD
• Caitlin Degenhardt, APRN
• John Michael Deir, PT, DPT
• Theodore Deitz, MD

• Public Health Dentistry in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Public Health Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.