| Prather Dynasty Llc | |
|
202 S Main St Huntsville MO 65259-1041 | |
| (660) 277-4444 | |
| Not Available |
| Full Name | Prather Dynasty Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 06/05/2025 |
| Last Update Date | 06/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720972706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |