Search › North Dakota › 1223S0112X
Joseph Deatherage, DMD, MD
NPI 1003859117 · on the registry since 2006
Practice
- Address
- 1730 Burnt Boat Dr Ste 300
Bismarck, ND 58503 - Phone
- (701) 258-7220
- Fax
- (701) 222-2329
Additional practice sites
- 1140 W Capitol Ave, Bismarck, ND
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Licence states on file
- ND
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-05-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Dakota