| Samuel E Deatherage, DMD | |
|
110 College St, Suite D, Athens, AL 35611-2714 | |
| (256) 232-0789 | |
| (256) 232-5247 |
| Full Name | Samuel E Deatherage |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 110 College St, Athens, Alabama |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073686424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5983 (Alabama) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel E Deatherage, DMD 110 College St, Suite D, Athens, AL 35611-2714 Ph: (256) 232-0789 | Samuel E Deatherage, DMD 110 College St, Suite D, Athens, AL 35611-2714 Ph: (256) 232-0789 |
William A Davis, DMD Dentist Medicare: Medicare Enrolled Practice Location: 107 S Hine St, Athens, AL 35611 Phone: 256-233-2910 Fax: 256-230-0892 | |
Dr. Thomas Adam Cole, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 22051 Us Highway 72, Suite F, Athens, AL 35613 Phone: 256-216-5610 Fax: 256-216-5660 | |
Dr. Lorrie Green, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 220 French Farms Blvd Ste D, Athens, AL 35611 Phone: 256-233-4803 | |
Mrs. Michonne Danielle West, DDS Dentist Medicare: Medicare Enrolled Practice Location: 310 W Elm St, Athens, AL 35611 Phone: 256-272-9147 | |
Clay Davis Reese, DMD Dentist Medicare: Medicare Enrolled Practice Location: 107 S Hine St, Athens, AL 35611 Phone: 256-233-2910 Fax: 256-230-0892 | |
Dr. Jeremiah Lance Harris, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 1005 W Market St, Suite 3, Athens, AL 35611 Phone: 256-232-1404 Fax: 256-230-6738 |