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

SAMUEL E DEATHERAGE, DMD

Active

SAMUEL E DEATHERAGE, DMD is a Dentist healthcare provider located in ATHENS, Alabama. NPI 1073686424 is currently active in the NPPES registry. Verify at CMS.

Dentist · ATHENS, AL

Registration Details

NPI Number
1073686424
Provider Type
Individual
Gender
Male
NPI Issued
Nov 15, 2006 (19.781964971238 yrs)
Last Updated
Apr 17, 2013
License
5983 (AL)

Practice Information

Address
110 COLLEGE ST
SUITE D
ATHENS, AL, 356112714
Browse AL providers · Browse ZIP 35611
Phone
2562320789
Fax
2562325247
Primary Specialty
Dentist
122300000X

Other Dentist Providers in ATHENS, AL

Name Credential NPI
DR. FRANKLIN DALE HAMBRIGHT D.M.D. 1417961095
DR. MANION MITCHELL COFFMAN DMD 1972611093
DR. RICHARD E SIPES DDS 1306937636
CLAY DAVIS REESE DMD 1275608697
WILLIAM A DAVIS DMD 1073688479
DR. JEREMIAH LANCE HARRIS D.M.D 1306045547
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.