| Cottonwood Dental Pratt, P.a. | |
|
603 S Main St Pratt KS 67124-2630 | |
| (620) 672-9922 | |
| Not Available |
| Full Name | Cottonwood Dental Pratt, P.a. |
|---|---|
| Speciality | Dentist |
| Location | 603 S Main St, Pratt, Kansas |
| Authorized Official Name and Position | Mike Yates (CFO) |
| Authorized Official Contact | 9189980996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cottonwood Dental Pratt, P.a. 400 Riverwalk Ter Ste 250 Jenks OK 74037-5619 Ph: (918) 998-0996 | Cottonwood Dental Pratt, P.a. 603 S Main St Pratt KS 67124-2630 Ph: (620) 672-9922 |
| NPI Number | 1336724749 |
|---|---|
| Provider Enumeration Date | 03/17/2021 |
| Last Update Date | 03/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336724749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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