BRANDI PRATHER DMD NPI 1760768865

NPI Information

NPI: 1760768865
Provider Name: BRANDI PRATHER DMD
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
47 SARAHS LN
SOMERSET, KY
ZIP 42503
Phone: (606) 679-1333
Get Directions

BRANDI PRATHER DMD is a pediatric dentistry dentist in Somerset, KY. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. BRANDI PRATHER DMD NPI is 1760768865. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

47 SARAHS LN
SOMERSET, KY
ZIP 42503-789
Phone: (606) 679-1333

The provider's authorized official is Brandi Prather .
The authorized official title is Owner/ Dentist and has the following contact phone number (606) 679-1333.

The enumeration date for this NPI number is 11/2/2011 and was last updated on 11/2/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	8103	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	60003886	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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