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Samuel E Deatherage Dmd Pc
General Practice Dentistry in Mountain Grove, Missouri
NPI 1619040078

Samuel E Deatherage Dmd Pc is a General Practice Dentistry based in Mountain Grove, MO and is specialized in General Practice. Samuel E Deatherage Dmd Pc practices in Mountain Grove, MO. The NPI Number for Samuel E Deatherage Dmd Pc is 1619040078 and holds a License No. (Missouri).

The current practice location address for Samuel E Deatherage Dmd Pc is 920 North Main, Mountain Grove, MO and can be reached out via phone at 417-926-4910 and via fax at 417-926-4399.

Location: 920 North Main, Mountain Grove, MO, 65711-1315
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619040078
Provider Name
Samuel E Deatherage Dmd Pc
Credential
Provider Entity Type
Organization
Address
920 North Main, Mountain Grove, MO, 65711-1315
Phone Number
417-926-4910
Fax Number
417-926-4399
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
920 North Main
City
Mountain Grove
State
Missouri
Zip
65711-1315
Phone Number
417-926-4910
Fax Number
417-926-4399
person
Provider Business Mailing Address Details
Address
920 North Main
City
Mountain Grove
State
Missouri
Zip
65711-1315
Phone Number
417-926-4910
Fax Number
417-926-4399
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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