Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samuel E Deatherage, DMD

Individual provider Dentist · NPI 1073686424

Samuel E Deatherage, DMD is a Dentist in Athens, Alabama. Licensed in Alabama. Registered with an NPI since 2006.

Licensed in
AL
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

110 College St Ste D
Athens, AL 35611-2714
Phone: (256) 232-0789
Fax: (256) 232-5247
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 5983 (AL)

Record details

NPI number1073686424
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedNovember 15, 2006
Last updated in NPPESApril 17, 2013

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