TED DEATHERAGE, D.M.D.

D.M.D.

Dentist

NPI: 1689721813Individual

Specialties, Licenses & Credentials

DentistPrimary

Dentist

Code: 122300000X

DEA015659(MO)

Request Appointment

Contact & Hours

Address: 1616 GIBSON ST
WEST PLAINS, MO 65775
Phone: (417) 257-0126

Quick Facts

NPI: 1689721813
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

Are you this provider?

Claim Your Profile