Doctor profile · Federal record
Dr. Ted Deatherage, D.M.D.
Dentist · West Plains, MO
- NPI 1689721813
- 19 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1616 Gibson St
West Plains, MO 657751814
(417) 257-0126
fax (417) 256-2469
Credentials & registration
- NPI registered
- January 2007 — 19 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- Missouri #DEA015659
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1689721813. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$60
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| A-dec, Inc. | 1 | $60.00 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
157
Patients
129
Total drug cost
$664
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 79 | 63 | $425 |
| Amoxicillin | Generic | 62 | 53 | $202 |
| Tramadol Hcl | Generic | 16 | 13 | $37 |
Frequently asked questions
What is Dr. Ted Deatherage's medical specialty?
Dr. Ted Deatherage practices Dentist in West Plains, MO.
Where does Dr. Ted Deatherage practice?
Dr. Ted Deatherage practices at 1616 Gibson St, West Plains, MO 657751814. Office phone: 4172570126.
What is Dr. Ted Deatherage's NPI?
Dr. Ted Deatherage's National Provider Identifier (NPI) is 1689721813, issued by NPPES.