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SAMUEL E DEATHERAGE DMD
NPI 1073686424
Dentist in Athens, AL

Active since November 15, 2006
110 COLLEGE ST, SUITE D, ATHENS, AL 35611(256) 232-0789(256) 232-5247 Get Directions Write a Review

NPPES record last updated: April 17, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samuel E Deatherage Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL E DEATHERAGE DMD (NPI 1073686424) is an individual dentist in Athens, Alabama, licensed in Alabama (5983) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1073686424
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameSAMUEL E DEATHERAGECredential: DMD
Location Address110 COLLEGE ST, SUITE DAthens, AL 35611-2714
Mailing Address110 College St, Suite DAthens, AL 35611-2714 · (256) 232-0789 · Fax (256) 232-5247
Phone(256) 232-0789
Fax(256) 232-5247
Sole ProprietorNo
Enumeration DateNovember 15, 2006
Last NPPES UpdateApril 17, 2013
✔ NPI 1073686424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AL · 5983
Definition
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.
110 COLLEGE ST, Athens, AL 35611
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATHWAY EYE ATHENS
Optometrist
110 COLLEGE ST, SUITE B
ATHENS, AL 35611
Limestone County (256) 233-2393
DR. ALAN WESLEY COLEMAN D.M.D
Dentist (General Practice)
110 COLLEGE ST, SUITE D
ATHENS, AL 35611
Limestone County (256) 232-0789
DAVIS SENIOR CARE LLC
Optometrist
110 COLLEGE ST, SUITE B
ATHENS, AL 35611
Limestone County (256) 233-2393
DR. PATRICK MITCHELL ENGLISH D.M.D.
Dentist
110 COLLEGE ST, SUITE D
ATHENS, AL 35611
Limestone County (256) 232-0789
DR. CHAD DAVIS O.D.
Optometrist
110 COLLEGE ST, SUITE B
ATHENS, AL 35611
Limestone County (256) 233-2393
DR. LINDSEY MARECLE MARSHALL D.M.D.
Dentist (General Practice)
110 COLLEGE ST, SUITE D
ATHENS, AL 35611
Limestone County (256) 232-0789

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Deatherage's NPI number?

The NPI number for Samuel Deatherage is 1073686424. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Samuel Deatherage located?

Samuel Deatherage practices at 110 College St Suite D, Athens, AL 35611. The listed phone number is (256) 232-0789.

What is Samuel Deatherage's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Samuel Deatherage accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and BEST Life and 14 other insurers list Samuel Deatherage as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Deatherage was last updated on April 17, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.