Prather Dynasty Llc | |
202 S Main St Huntsville MO 65259-1041 | |
(660) 277-4444 | |
Not Available |
Full Name | Prather Dynasty Llc |
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Speciality | Clinic/center - Dental |
Location | 202 S Main St, Huntsville, Missouri |
Authorized Official Name and Position | Nathaniel Prather (OWNER) |
Authorized Official Contact | 8163497082 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Prather Dynasty Llc 502 Eagle St Moberly MO 65270-5579 Ph: (816) 349-7082 | Prather Dynasty Llc 202 S Main St Huntsville MO 65259-1041 Ph: (660) 277-4444 |
NPI Number | 1720972706 |
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Provider Enumeration Date | 06/05/2025 |
Last Update Date | 06/05/2025 |
Identifier | Type | State | Issuer |
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1720972706 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |