JOSEPH RICHARD DEATHERAGE DMD, MD
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1003859117- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DMD, MD
- Status
- Active
Contact & Location
- Address
- 1730 BURNT BOAT DR STE 300, BISMARCK, ND, 585030886
- Phone
- (701) 258-7220
- Fax
- (701) 222-2329
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: ND #2069