Joseph Richard Deatherage is a Bismarck, North Dakota based Oral and Maxillofacial Surgeon with 33 years of experience in Oral and Maxillofacial Surgery. He completed his graduation from University Of Texas Medical School At San Antonio in 1992. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Joseph Richard Deatherage is 2069 for Oral and Maxillofacial Surgery in North Dakota. His current practice location is 1730 Burnt Boat Dr Ste 300, Bismarck. Patients can reach him at 701-258-7220.
Joseph Richard Deatherage deals with 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.
Complete Profile:
Joseph Richard 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:
Joseph Richard Deatherage
Specialization:
Oral and Maxillofacial Surgeon
Gender:
Male
Credentials:
DMD, MD
Experience:
33+ years
Medical School Attended:
University Of Texas Medical School At San Antonio
Graduation Year:
1992
Accepts Medicare Assignment:
Yes
Practice Address:
1730 Burnt Boat Dr Ste 300, Bismarck, North Dakota, 58503-0886
Phone:
701-258-7220
Fax:
701-222-2329
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.
PAC ID:
5395764278
Enrollment ID:
I20100511001065
NPI Number:
1003859117
NPI Enumeration Date:
14 Jun, 2006
NPI Last Update On:
01 May, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Joseph Richard Deatherage are as mentioned below.
License Number
Specialization
State
Status
2069
Oral and Maxillofacial Surgery
North Dakota
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Joseph Richard Deatherage is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Face And Jaw Surgeons Pc (1153311881)
6
Other Medical Identifiers:
Other legacy medical identifiers associated with Joseph Richard Deatherage such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2069
Other
North Dakota
DENTAL LICENSE
41524
Medicaid
North Dakota
Medicare Quality Reporting:
Medicare Quality Reporting consists of various programs like PQRS, EHR, MHI etc.
PQRS
He does not participate in the Physician Quality Reporting System Incentive Program.
EHR
He does not participate in the Electronic Health Record Incentive Program.
MHI
He does not participate in the Million Hearts Initiative Program.
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1730 Burnt Boat Dr Ste 300, Bismarck, North Dakota
Zip:
58503-0886
Phone Number:
701-258-7220
Fax Number:
701-222-2329
Patients can reach Joseph Richard Deatherage at 1730 Burnt Boat Dr Ste 300, Bismarck, North Dakota or can call to book an appointment on 701-258-7220. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.