Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TED A DEATHERAGE, D.M.D.
Active Sole ProprietorDR. TED A DEATHERAGE, D.M.D. is a Dentist healthcare provider located in WEST PLAINS, Missouri. NPI 1689721813 is currently active in the NPPES registry. Verify at CMS.
Dentist · WEST PLAINS, MO
Registration Details
- NPI Number
- 1689721813
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 3, 2007 (19.602413436603 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DEA015659 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1616 GIBSON STWEST PLAINS, MO, 657751814Browse MO providers · Browse ZIP 65775
- Phone
- 4172570126
- Fax
- 4172562469
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in WEST PLAINS, MO
| Name | Credential | NPI |
|---|---|---|
| DR. ALANNA R TEMPLE | DDS | 1922084417 |
| TRAVIS SHEARER | DENTIST | 1396721882 |
| DR. GALEN ARTHUR KELLENBERGER | D.D.S. | 1598744377 |
| BRUCE CRAIG MAXWELL | DDS | 1184689069 |
| DR. JAMES W LOFGREN | DDS | 1285678003 |
| DR. DANIEL MARTIN SOPER | D.D.S. | 1821211319 |
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.