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Organization
RANDON S. PRATHER, D.M.D., P.S.C.
Active
Organization
RANDON S. PRATHER, D.M.D., P.S.C.
Active
Other names
Gentle Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDON SCOTT PRATHER D.M.D. (PRESIDENT)
(270) 527-1479
Entity
Organization
Contact information
Practice address
1301 OLIVE ST, BENTON, KY 42025-1640
(270) 527-1479
Mailing address
1301 OLIVE ST, PO BOX 585, BENTON, KY 42025-1640
(270) 527-1479
(270) 527-3192
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9492
KY
Other
Enumeration date
01/11/2015
Last updated
01/11/2015
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