Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073686424 Individual Practitioner Male Practitioner

Dr. Samuel E Deatherage , DMD

Dentist • Athens, AL

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Deatherage, DMD is a registered healthcare professional specializing in Dentist in Athens, AL. Practice services are available at 110 COLLEGE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

110 College St
Suite D

Athens, AL 356112714

Telephone 2562320789
Fax 2562325247
Associated Practice Facility / Clinic
🏢 Pathway Eye Athens Facility NPI 1205009750

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Athens, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.5 Yrs
Regional Practice Density
10 Specialists

Practicing in Athens, AL (894 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License AL 5983

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Alan Coleman , DMD

Dentist - General Practice

NPI 1437242195

Doctor of Dental Medicine

NPI 1578886826

Doctor of Dental Medicine

Dr. Lindsey Marshall , DMD

Dentist - General Practice

NPI 1770876419

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 17, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 17, 2013

Registered at 110 COLLEGE ST, SUITE D, ATHENS, AL 356112714 (Tel: 2562320789)

📍
Updated Business Mailing Address April 17, 2013

Registered at 110 COLLEGE ST, SUITE D, ATHENS, AL 356112714 (Tel: 2562320789)

👤
Provider Name / Credentials Updated April 17, 2013

Recorded as SAMUEL DEATHERAGE, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2013

Dentist (License #5983 in AL)

🟢
Initial NPI Registration & Enumeration November 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073686424
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 15, 2006
Last Update: April 17, 2013
Sole Proprietor: No

Mailing Address

110 College St, Suite D

Athens, AL 356112714

Phone: 2562320789

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.