Individual provider · Type 1 NPI

Ted A. Deatherage, DMD

Dentist · West Plains, MO

NPI number 1689721813 Active

Practice location

1616 Gibson St
West Plains, MO 65775-1814

Fax (417) 256-2469

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDEA015659 (MO)

Dentist: 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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1689721813

Ted A. Deatherage, DMD's National Provider Identifier is 1689721813, issued on Jan 3, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in West Plains, MO. The record was last updated on Jul 8, 2007.