| Terry Pratt D.d.s., Inc. | |
|
2217 Central Ave Alameda CA 94501-4410 | |
| (510) 522-7010 | |
| (510) 522-2654 |
| Full Name | Terry Pratt D.d.s., Inc. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2217 Central Ave, Alameda, California |
| Authorized Official Name and Position | Kenneth Terry Pratt (OWNER DOCTOR) |
| Authorized Official Contact | 5105227010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terry Pratt D.d.s., Inc. 2217 Central Ave Alameda CA 94501-4410 Ph: (510) 522-7010 | Terry Pratt D.d.s., Inc. 2217 Central Ave Alameda CA 94501-4410 Ph: (510) 522-7010 |
| NPI Number | 1760607196 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760607196 | NPI | - | NPPES |
| D20716 | Other | CA | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | D20716 (California) | Primary |
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