# PRATT FAMILY DENTAL, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245564590
- **Authorized official:** DR. CARSON TERRY HOPKINS DMD (PRESIDENT)
- **Authorized official phone:** (620) 672-3612

## Contact information

- **Practice address:** 105 W 4TH ST, PRATT, KS 67124-2605
- **Practice address phone:** (620) 672-3612
- **Practice address fax:** (620) 672-3314
- **Mailing address:** 105 W 4TH ST, PRATT, KS 67124-2605
- **Mailing address phone:** (620) 672-3612
- **Mailing address fax:** (620) 672-3314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/18/2009
- **Last updated:** 09/18/2009