Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL E DEATHERAGE DMD PC
Active OrganizationSAMUEL E DEATHERAGE DMD PC is a General Dentistry organization located in MOUNTAIN GROVE, Missouri. NPI 1619040078 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · MOUNTAIN GROVE, MO
Registration Details
- NPI Number
- 1619040078
- Provider Type
- Organization
- NPI Issued
- Nov 15, 2006 (19.752610048089 yrs)
- Last Updated
- Aug 22, 2020
Practice Information
- Address
-
920 NORTH MAINMOUNTAIN GROVE, MO, 657111315Browse MO providers · Browse ZIP 65711
- Phone
- 4179264910
- Fax
- 4179264399
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Organizations in MOUNTAIN GROVE, MO
| Name | NPI |
|---|---|
| KATIE D. PETERSON, DDS, PC | 1326301359 |
| ACCESS DENTAL SERVICES LP | 1376088369 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.