Samuel E Deatherage DMD PC
Samuel E Deatherage DMD PC is a General Practice Dentistry in Mountain Grove, Missouri. Registered with an NPI since 2006.
- In the registry since
- 2006
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
920 N MainMountain Grove, MO 65711-1315
Phone: (417) 926-4910
Fax: (417) 926-4399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1619040078 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Samuel Deatherage — President · (417) 926-4910 |
| NPI enumerated | November 15, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 920 North Main, Mountain Grove, MO 65711-1315 |
Other providers in Mountain Grove
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Dr. Lauren Jean Bales, DDS
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Katie D. Peterson, DDS, PC
920 N Main St, Mountain Grove, MO 65711-1315 · (417) 926-4910
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Katie Dawn Peterson, DDS
920 N Main St, Mountain Grove, MO 65711-1315 · (417) 926-4910
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Dr. Preston William Thomas, DDS
901 N Main St, Mountain Grove, MO 65711-1316 · (417) 299-6130
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Dr. Tommy Dean Todd, DDS
901 N Main, Mountain Grove, MO 65711 · (417) 926-3600