| Pratt Family Dental, P.a. | |
|
105 W 4th St Pratt KS 67124-2605 | |
| (620) 672-3612 | |
| (620) 672-3314 |
| Full Name | Pratt Family Dental, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 105 W 4th St, Pratt, Kansas |
| Authorized Official Name and Position | Carson Terry Hopkins (PRESIDENT) |
| Authorized Official Contact | 6206723612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pratt Family Dental, P.a. 105 W 4th St Pratt KS 67124-2605 Ph: (620) 672-3612 | Pratt Family Dental, P.a. 105 W 4th St Pratt KS 67124-2605 Ph: (620) 672-3612 |
| NPI Number | 1245564590 |
|---|---|
| Provider Enumeration Date | 09/18/2009 |
| Last Update Date | 09/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245564590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
L Ronald Ingram Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 W 4th, Pratt, KS 67124 Phone: 620-672-3612 Fax: 620-672-3612 | |
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