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Face and Jaw Surgeons PC

Oral and Maxillofacial Surgery (Dentist) in Bismarck, ND · enumerated 2006 · authorized official Joseph Deatherage, Dmd MD.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184667305

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Registry record

Entity type Organization (Type 2)
Legal business name Face and Jaw Surgeons PC
Practice address 1140 W Capitol Ave, Bismarck, ND, 58501
Fax (701) 222-2329
Enumeration date Jun 14, 2006
Last updated in NPPES Apr 25, 2019

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers Primary

Authorized official

Name Joseph Deatherage
Title Dmd MD

Other identifiers

Identifier Type State Issuer
41124 Medicaid ND -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-04-25. Verify at npiregistry.cms.hhs.gov.
Where is Face and Jaw Surgeons PC located?
The practice location on file with NPPES is in Bismarck, ND.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-04-25.