SAMUEL E DEATHERAGE (NPI# 1073686424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073686424 |
| Entity Type | Individual |
| Full Name | SAMUEL E DEATHERAGE |
| Credential | DMD |
| Practice Address |
110 College St Suite D Athens AL 35611-2714 |
| Practice Telephone | 2562320789 |
| Practice Fax Number | 2562325247 |
| Mailing Telephone | 2562320789 |
| Mailing Fax Number | 2562325247 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2013-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5983 | AL | Dental Providers |
| Street Address |
110 COLLEGE ST SUITE D |
| City | ATHENS |
| State | AL |
| Zip Code | 35611-2714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750348868 | Chad Davis | Optometrist | 110 College St, Suite B, Athens, AL 35611-2714 | 2006-05-01 |
| 1184066425 | Derek Danny Weigand | Dentist | 110 College St, Suite D, Athens, AL 35611-2714 | 2013-07-29 |
| 1770876419 | Lindsey Marecle Marshall | Dentist | 110 College St, Suite D, Athens, AL 35611-2714 | 2011-05-26 |
| 1578886826 | Patrick Mitchell English | Dentist | 110 College St, Suite D, Athens, AL 35611-2714 | 2010-03-01 |
| 1528202389 | Davis Senior Care LLC | Optometrist | 110 College St, Suite B, Athens, AL 35611-2714 | 2009-04-23 |
| 1205009750 | Davis Eye Care, PC | Optometrist | 110 College St, Suite B, Athens, AL 35611-2714 | 2008-04-04 |
| 1437242195 | Alan Wesley Coleman | Dentist | 110 College St, Suite D, Athens, AL 35611 | 2006-10-02 |
| 1023101524 | Micheal Eugene Corum | Dentist | 110 College St, Suite D, Athens, AL 35611 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023529 | Aderholt Medical, LLC | Family Medicine | 320 Old Us-31 N, Athens, AL 35611 | 2020-11-03 |
| 1295333409 | Olivia Palmer | Nurse Practitioner | 770 W Market St, Athens, AL 35611 | 2020-10-12 |
| 1104467901 | Michael S Layman | Hearing Instrument Specialist | 809 Hwy 72 W., Steg, Suite G, Athens, AL 35611 | 2019-10-02 |
| 1508425901 | Courtney Rae Ringrose | Dentist | 1323 Us Highway 72 E, Athens, AL 35611 | 2019-06-10 |
| 1225585391 | Advantage Health Solutions,llc | Family Medicine | 707 West Market St Ste A, Athens, AL 35611 | 2016-09-07 |
| 1306293618 | Brady Aderholt | Nurse Practitioner | 411 N Houston St, Athens, AL 35611 | 2016-05-17 |
| 1891154647 | Hh Health System - Retail Pharmacy LLC | Pharmacy | 700 W. Market Street, Suite 100, Athens, AL 35611 | 2016-02-22 |
| 1790188779 | U Save Pharmacies LLC | Pharmacy | 1285 Hwy 72 E, Athens, AL 35611 | 2014-10-03 |
| 1497176564 | Hometown Pharmacy of Limestone County, LLC | Pharmacy | 100 Highway 31, Suite H, Athens, AL 35611 | 2013-12-17 |
| 1760819015 | William Todd Waggoner | Pharmacist | 104 Highway 31 North, Athens, AL 35611 | 2013-10-02 |
| Find all providers in zip 35611 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023512746 | Hilary Smith | Dentist | 910 Highway 29 N, Athens, GA 30601-1513 | 2018-03-19 |
| 1215319355 | Lorrie Green | Dentist | 220 French Farms Blvd Ste D, Athens, AL 35611-4361 | 2015-06-25 |
| 1861883043 | Dental Sleep Medicine of Athens, LLC | Dentist | 2470 Daniels Bridge Rd Ste 202, Athens, GA 30606-6188 | 2015-02-10 |
| 1053737445 | Mark D. Valrose | Dentist | 80 Columbus Rd, Athens, OH 45701-1312 | 2014-03-10 |
| 1295167427 | James Ellis Morang | Dentist | 181 University Dr, Athens, GA 30605-1435 | 2013-07-30 |
| 1083953814 | Teerachai Supakorndej | Dentist | 220 Plantation Dr, Athens, GA 30605-4022 | 2013-02-14 |
| 1124382213 | Alyson Satterfield White | Dentist | 1171 Mitchell Bridge Rd, Athens, GA 30606-6475 | 2012-07-03 |
| 1033484688 | William A Davis Dmd | Dentist | 107 Hine St S, Athens, AL 35611-2323 | 2012-03-15 |
| 1033416086 | Terry A Sampson | Dentist | 230 S Clark St, Athens, MI 49011-9799 | 2011-02-25 |
| 1922309418 | Anita Mathew | Dentist | 1000 Hawthorne Ave Ste R, Athens, GA 30606-2168 | 2010-11-15 |
| Find all providers in ATHENS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.