Dr. Ted A Deatherage is a West Plains, Missouri based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Ted A Deatherage is DEA015659 for Dentistry in Missouri. His current practice location is 1616 Gibson St, West Plains. Patients can reach him at 417-257-0126.
Dr. Ted A Deatherage is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Ted A Deatherage speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Ted A Deatherage
Specialization:
Dentist
Gender:
Male
Credentials:
D.M.D.
Accepts Medicare Assignment:
No
Practice Address:
1616 Gibson St, West Plains, Missouri, 65775-1814
Phone:
417-257-0126
Fax:
417-256-2469
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 are as mentioned below.
NPI Number:
1689721813
NPI Enumeration Date:
03 Jan, 2007
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Ted A Deatherage are as mentioned below.
License Number
Specialization
State
Status
DEA015659
Dentistry
Missouri
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:
1616 Gibson St, West Plains, Missouri
Zip:
65775-1814
Phone Number:
417-257-0126
Fax Number:
417-256-2469
Patients can reach Dr. Ted A Deatherage at 1616 Gibson St, West Plains, Missouri or can call to book an appointment on 417-257-0126. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.