Joseph Richard Deatherage, DMD, MD is an oral and maxillofacial surgery dentist in Bismarck, ND with 32 years of experience. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Joseph Richard Deatherage, DMD, MD NPI is 1003859117. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduation Year:1992
The provider's business location address is:
1730 BURNT BOAT DR STE 300
BISMARCK, ND
ZIP 58503-886
Phone: (701) 258-7220
Fax: (701) 222-2329
The NPI 1003859117 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 6/14/2006 and was last updated on 5/1/2019.