| Dr Ted A Deatherage, DMD | |
|
1616 Gibson St, West Plains, MO 65775-1814 | |
| (417) 257-0126 | |
| (417) 256-2469 |
| Full Name | Dr Ted A Deatherage |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 1616 Gibson St, West Plains, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689721813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DEA015659 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ted A Deatherage, DMD 1616 Gibson St, West Plains, MO 65775-1814 Ph: (417) 257-0126 | Dr Ted A Deatherage, DMD 1616 Gibson St, West Plains, MO 65775-1814 Ph: (417) 257-0126 |
Bruce Craig Maxwell, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 747 W Broadway St, West Plains, MO 65775 Phone: 417-256-2525 Fax: 417-256-7546 | |
Dr. James W Lofgren, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 310 Kentucky Ave, Suite 2, West Plains, MO 65755 Phone: 417-255-9800 Fax: 417-257-2911 | |
Dr. Catherine Pyle, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 1137 Independence Dr, West Plains, MO 65775 Phone: 417-255-8213 | |
Travis Shearer, DENTIST Dentist Medicare: Medicare Enrolled Practice Location: 1115 Independence Dr, West Plains, MO 65775 Phone: 417-255-8464 Fax: 417-255-9741 | |
Mark L. Dake, DDS, MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 181 N Kentucky Ave, West Plains, MO 65775 Phone: 417-256-5100 Fax: 417-257-0721 | |
Dr. David Justin Sander, D.M.D., M.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 181 N Kentucky Ave, Suite 300, West Plains, MO 65775 Phone: 417-256-5100 Fax: 417-257-0721 | |
Dr. Brian Heath Morrison, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1614 Gibson St, West Plains, MO 65775 Phone: 417-256-3020 |