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

JAMES RANDALL DEATHERAGE

Active

JAMES RANDALL DEATHERAGE is a Dentist healthcare provider located in BREWTON, Alabama. NPI 1265543797 is currently active in the NPPES registry. Verify at CMS.

Dentist · BREWTON, AL

Registration Details

NPI Number
1265543797
Provider Type
Individual
Gender
Male
NPI Issued
Aug 31, 2006 (19.779165601832 yrs)
Last Updated
Jul 8, 2007
License
4913 (AL)

Practice Information

Address
422 DOUGLAS AVENUE
BREWTON, AL, 36426
Browse AL providers · Browse ZIP 36426
Phone
2518676837
Fax
2518676278
Primary Specialty
Dentist
122300000X

Other Dentist Providers in BREWTON, AL

Name Credential NPI
ANDRIA P CALDWELL DDS 1053389403
DR. GUS BAHOS DMD 1649348285
BRIAN KEITH MILLER D.M.D. 1346393766
DR. SHAI TANYETTE HALL DDS 1013043637
LAURENTIS L BARNETT DDS 1659568582
EVANGELYN ALETHEIA SPENCER D.M.D. 1760892160
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.