JOSEPH DEATHERAGE, DMD, MD

Dentist - Oral and Maxillofacial Surgery

Active Individual
NPI: 1003859117

Practice Address

1730 BURNT BOAT DR STE 300
Bismarck, ND 58503

Phone: (701) 258-7220

Specialties

Specialty Code Primary License
Dentist - Oral and Maxillofacial Surgery 1223S0112X Yes 2069 (ND)

Frequently Asked Questions

NPI 1003859117 is the National Provider Identifier for JOSEPH DEATHERAGE, DMD, MD, a Dentist - Oral and Maxillofacial Surgery provider located in Bismarck, ND. This NPI was enumerated on June 14, 2006.
JOSEPH DEATHERAGE, DMD, MD practices at 1730 BURNT BOAT DR STE 300, Bismarck, ND 58503.

Quick Facts

NPI
1003859117
Type
Individual
Enumerated
Jun 14, 2006
Last Updated
May 1, 2019

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