| Brandi Prather Dmd | |
|
47 Sarahs Ln Somerset KY 42503-2789 | |
| (606) 679-1333 | |
| Not Available |
| Full Name | Brandi Prather Dmd |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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