Samuel E Deatherage Dmd Pc is a Dental Clinic in Mountain Grove, Missouri. It is located at 920 North Main, Mountain Grove, MO and its contact number is 417-926-4910. The authorized person for Samuel E Deatherage Dmd Pc is Samuel E Deatherage
who is President of the clinic and their contact number is 417-926-4910.
Samuel E Deatherage Dmd Pc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Samuel E Deatherage Dmd Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Samuel E Deatherage Dmd Pc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 920 North Main, Mountain Grove,
Missouri, 65711-1315 |
| Phone: | 417-926-4910 |
| Fax: | 417-926-4399 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Samuel E Deatherage |
| Position: | President |
| Contact Number: | 417-926-4910 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Samuel E Deatherage Dmd Pc clinic are as mentioned below.
| NPI Number: | 1619040078 |
| NPI Enumeration Date: | 15 Nov, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Samuel E Deatherage Dmd Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Samuel E Deatherage Dmd Pc
920 North Main,
Mountain Grove, Missouri |
| Zip: | 65711-1315 |
| Phone Number: | 417-926-4910 |
| Fax Number: | 417-926-4399 |
Patients can reach Samuel E Deatherage Dmd Pc at
920 North Main, Mountain Grove, Missouri or can
call to book an appointment on 417-926-4910.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.