| Phillip D Prater Ddd Pllc | |
|
929 S Main St Blackstone VA 23824-2610 | |
| (434) 292-3695 | |
| Not Available |
| Full Name | Phillip D Prater Ddd Pllc |
|---|---|
| Speciality | Dentist |
| Location | 929 S Main St, Blackstone, Virginia |
| Authorized Official Name and Position | Phillip D Prater (OWNER) |
| Authorized Official Contact | 4342923695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip D Prater Ddd Pllc 929 S Main St Blackstone VA 23824-2610 Ph: () - | Phillip D Prater Ddd Pllc 929 S Main St Blackstone VA 23824-2610 Ph: (434) 292-3695 |
| NPI Number | 1891186441 |
|---|---|
| Provider Enumeration Date | 02/17/2015 |
| Last Update Date | 02/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891186441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401414364 (Virginia) | Primary |