Joseph Richard Deatherage DMD, MD

  • NPI 1003859117
According to our database, the NPI number for Joseph Richard Deatherage DMD, MD is 1003859117 and activated since 17 years ago. Joseph Richard Deatherage DMD, MD is an individual provider who specializes in Oral and Maxillofacial Surgery, and the primary practice location is 1730 Burnt Boat Dr Ste 300, Bismarck, ND 58503. You can also contact Joseph Richard Deatherage DMD, MD via telephone number is (701) 258-7220. Provider NPI information was last updated on 05/01/2019.

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Overview of Joseph Richard Deatherage DMD, MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/14/2006
  • Last updated: 05/01/2019

Primary Scrop of Practice

  • Taxonomy Code: 1223S0112X
  • Specialty: Oral and Maxillofacial Surgery
  • License Number: 2069
  • License State: ND

Provider Mailing Address

  • Address: 1730 Burnt Boat Dr Ste 300
    Bismarck, ND 58503
  • Phone: 701-258-7220
  • Fax: 701-222-2329

Provider Practice Location

  • Address: 1730 Burnt Boat Dr Ste 300
    Bismarck, ND 58503
  • Phone: 701-258-7220
  • Fax: 701-222-2329

Scope of Practice

  • Taxonomy Code: 1223S0112X
  • Specialty: Oral and Maxillofacial Surgery
  • License Number: 2069
  • License State: ND
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 2069
  • Identifier Type: Other
  • Identifier State: ND
  • Issuer: DENTAL LICENSE

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Joseph Richard Deatherage DMD, MD?
  • A: The npi number for Joseph Richard Deatherage DMD, MD is 1003859117.
  • Q: What are Joseph Richard Deatherage DMD, MD's specialties?
  • A: Joseph Richard Deatherage DMD, MD's specialties are Oral and Maxillofacial Surgery and different specialities.
  • Q: What is the medical license for Joseph Richard Deatherage DMD, MD?
  • A: The medical license number for Joseph Richard Deatherage DMD, MD is 2069 and issued in ND in USA.
  • Q: Where is Joseph Richard Deatherage DMD, MD practice location?
  • A: Joseph Richard Deatherage DMD, MD is practicing at 1730 Burnt Boat Dr Ste 300, Bismarck, ND 58503.
  • Q: How to contact Joseph Richard Deatherage DMD, MD?
  • A: You can contact Joseph Richard Deatherage DMD, MD via 701-258-7220.
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