Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Joseph Richard Deatherage, DMD, MD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1003859117

Joseph Richard Deatherage, DMD, MD is an Oral Surgery in Bismarck, North Dakota. Graduated from University of Texas Medical School at San Antonio in 1992, 34 years ago. Practices with Face and Jaw Surgeons PC, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
34
Trained at
University of Texas Medical School at San Antonio
Licensed in
ND
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1730 Burnt Boat Dr Ste 300
Bismarck, ND 58503-0886
Phone: (701) 258-7220
Fax: (701) 222-2329
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1140 W Capitol Ave, Bismarck, ND 58501-1306 — (701) 258-7220

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 2069 (ND)

Record details

NPI number1003859117
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , MD
Sole proprietorNo
NPI enumeratedJune 14, 2006
Last updated in NPPESMay 1, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated 1992 (34 years in practice)
Group practice Face And Jaw Surgeons Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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