| James R. Deatherage D.m.d.,p.c. | |
|
422 Douglas Ave Brewton AL 36426-2052 | |
| (251) 867-6837 | |
| (251) 867-6278 |
| Full Name | James R. Deatherage D.m.d.,p.c. |
|---|---|
| Speciality | Dentist |
| Location | 422 Douglas Ave, Brewton, Alabama |
| Authorized Official Name and Position | Becky Jane Barrow (OFFICE MANAGER) |
| Authorized Official Contact | 2518676837 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James R. Deatherage D.m.d.,p.c. 422 Douglas Ave Brewton AL 36426-2052 Ph: (251) 867-6837 | James R. Deatherage D.m.d.,p.c. 422 Douglas Ave Brewton AL 36426-2052 Ph: (251) 867-6837 |
| NPI Number | 1730404187 |
|---|---|
| Provider Enumeration Date | 03/29/2010 |
| Last Update Date | 03/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730404187 | NPI | - | NPPES |
| 510-67264 | Other | AL | BLUE CROSS & BLUE SHIELD |
| 996355 | Other | PA | UNITED CONCORDIA |
| 113806 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4913 (Alabama) | Primary |
Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1115 Azalea Pl, Brewton, AL 36426 Phone: 251-809-3925 Fax: 251-809-6058 | |
B. Keith Miller Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 Douglas Ave, Brewton, AL 36426 Phone: 251-867-5625 | |
Brewton Family Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1115 Azalea Pl, Brewton, AL 36426 Phone: 251-867-8020 Fax: 251-867-8079 | |
Brewton Dental Care Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 Douglas Ave, Brewton, AL 36426 Phone: 251-867-5625 Fax: 251-867-5648 | |
Michael A. Dasinger Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 422 Douglas Ave, Brewton, AL 36426 Phone: 251-867-6837 Fax: 251-867-6278 |