Dr. Roscoe Sidney Eatherly , DDS
Dentist - General Practice • Anderson, MO
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Roscoe Eatherly has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Roscoe Eatherly, DDS was a registered Dentist - General Practice practicing in Anderson, MO. Throughout an active medical career spanning 14 years, Dr. Eatherly provided care at the practice location at 508 W HIGHWAY 76 until profile deactivation on 2023-05-24.
Practice Location & Contact Primary Location
508 W Highway 76
Anderson, MO 648318548
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Anderson, MO
Practicing in Anderson, MO (2113 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dental Assistant
Registered Dental Hygienist
Dentist - Dental Public Health
Doctor of Dental Surgery
Dental Hygienist
Registered Dental Hygienist
Dental Assistant
Registered Dental Hygienist
Dental Hygienist
Registered Dental Hygienist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 24, 2023
NPI status registered as active in NPPES database
Registered at 508 W HIGHWAY 76, ANDERSON, MO 648318548 (Tel: 4178452243)
Registered at 508 W HIGHWAY 76, P.O. BOX 4343, ANDERSON, MO 648318548 (Tel: 4178452243)
Recorded as ROSCOE EATHERLY, D.D.S.
Dentist (License #011347 in MO)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
508 W Highway 76, P.o. Box 4343
Anderson, MO 648318548
Phone: 4178452243
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