Samuel E Deatherage is a Dentist in Athens, Alabama. Samuel E Deatherage practices all healthcare services and medical treatments related to Dentist. The NPI Number for Samuel E Deatherage is 1073686424. The last update date is 2013-04-17.
Samuel E Deatherage's current location address is 110 College St, Athens, Alabama. You can contact this provider via phone number 2562320789 and fax number 2562325247. The mailing address for Samuel E Deatherage is 110 College St, Athens, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel E Deatherage |
|---|---|
| Address | 110 College St, Athens, Alabama |
| Phone Number | 2562320789 |
| Fax Number | 2562325247 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1073686424 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2013-04-17 |
Provider Mailing Address Detail
| Address | 110 College St |
|---|---|
| City | Athens |
| State | Alabama (AL) |
| Post Code | 356112714 |
| Phone Number | 2562320789 |
| Fax Number | 2562325247 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5983 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identification code assigned to Samuel E Deatherage by the Centers for Medicare & Medicaid Services?
The Samuel E Deatherage has been issued the NPI (National Provider Identifier) 1073686424. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Samuel E Deatherage's facilities are situated?
The facilities of Samuel E Deatherage are physically located at the following address: 110 College St, Athens, AL, 356112714.
What is the Samuel E Deatherage's specialty and taxonomy code?
The Samuel E Deatherage's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date was the 1073686424 assigned to Samuel E Deatherage?
The Samuel E Deatherage was issued its 1073686424 on 2006-11-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Samuel E Deatherage's information last updated?
The Samuel E Deatherage's information was last updated on 2013-04-17.
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