Joseph Richard Deatherage, DMD, MD - Bismarck, ND

Joseph Richard Deatherage, DMD,MD

Oral and Maxillofacial Surgery (Dentist) in Bismarck, North Dakota

NPI 1003859117

Joseph Richard Deatherage is a Oral and Maxillofacial Surgery (Dentist) based in Bismarck, ND and is specialized in Oral and Maxillofacial Surgery. Joseph Richard Deatherage practices in Bismarck, ND and has the professional credentials of DMD,MD. The NPI Number for Joseph Richard Deatherage is 1003859117 and holds a License No. 2069 (North Dakota).

The current practice location address for Joseph Richard Deatherage is 1730 Burnt Boat Dr Ste 300, Bismarck, ND and can be reached out via phone at 701-258-7220 and via fax at 701-222-2329.

Location: 1730 Burnt Boat Dr Ste 300, Bismarck, ND, 58503-0886

NPI Number

1003859117

Provider Name

Joseph Richard Deatherage

Credential

DMD,MD

Provider Entity Type

Individual

Gender

Male

Address

1730 Burnt Boat Dr Ste 300, Bismarck, ND, 58503-0886

Phone Number

701-258-7220

Fax Number

701-222-2329

Provider Enumeration Date

06/14/2006

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
2069	01	ND	DENTAL LICENSE
41524	05	ND

Address

1730 Burnt Boat Dr Ste 300

City

Bismarck

State

North Dakota

Zip

58503-0886

Phone Number

701-258-7220

Fax Number

701-222-2329

Address

1730 Burnt Boat Dr Ste 300

City

Bismarck

State

North Dakota

Zip

58503-0886

Phone Number

701-258-7220

Fax Number

701-222-2329

Type

Dental Providers

Classification

Dentist

Speciality

Oral and Maxillofacial Surgery

Taxonomy

1223S0112X

License No.

2069 (North Dakota)

Definition

The specialty of dentistry which includes 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.

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