Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOSEPH RICHARD DEATHERAGE, DMD, MD
ActiveJOSEPH RICHARD DEATHERAGE, DMD, MD is a Oral & Maxillofacial Surgery healthcare provider located in BISMARCK, North Dakota. NPI 1003859117 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · BISMARCK, ND
Registration Details
- NPI Number
- 1003859117
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2006 (20.128603734702 yrs)
- Last Updated
- May 1, 2019
- License
-
2069 (ND)
Practice Information
- Address
-
1730 BURNT BOAT DR STE 300BISMARCK, ND, 585030886Browse ND providers · Browse ZIP 58503
- Phone
- 7012587220
- Fax
- 7012222329
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in BISMARCK, ND
| Name | Credential | NPI |
|---|---|---|
| GERARD F KOORBUSCH | DDS, MBA | 1003859224 |
| DR. JOHN G STANLEY | M.D., D.M.D. | 1285670067 |
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.