Brandi Prather Dmd | |
47 Sarahs Ln Somerset KY 42503-2789 | |
(606) 679-1333 | |
Not Available |
Full Name | Brandi Prather Dmd |
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Speciality | Dentist - Pediatric Dentistry |
Location | 47 Sarahs Ln, Somerset, Kentucky |
Authorized Official Name and Position | Brandi Prather (OWNER/ DENTIST) |
Authorized Official Contact | 6066791333 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brandi Prather Dmd Po Box 224 Somerset KY 42502-0224 Ph: (606) 679-1333 | Brandi Prather Dmd 47 Sarahs Ln Somerset KY 42503-2789 Ph: (606) 679-1333 |
NPI Number | 1760768865 |
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Provider Enumeration Date | 11/02/2011 |
Last Update Date | 11/02/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760768865 | NPI | - | NPPES |
60003886 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 8103 (Kentucky) | Primary |
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