Samuel E Deatherage, DMD

NPI #1073686424 in Athens, Alabama

Provider Information

NPI Number
1073686424
Entity Type
Individual
Name
Samuel E Deatherage, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
Nov 15, 2006
Last Updated
Apr 17, 2013

Practice Location

Address
110 COLLEGE ST
Address 2
SUITE D
City
Athens
State
Alabama
ZIP Code
35611-2714
Phone
(256) 232-0789

Specialties & Taxonomy Codes

Specialty
Dentist

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