Face and Jaw Surgeons PC
NPI 1184667305ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Bismarck, ND
Dentist, Oral and Maxillofacial Surgery in Bismarck, North Dakota, registered in NPPES in June 2006. The authorized official on file is Joseph R. Deatherage, DMD MD, Dmd Md. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1184667305 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 14, 2006 |
| Last updated in NPPES | Apr 25, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ND) |
|---|
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