# TERRY PRATT D.D.S., INC.

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

## Provider details

- **NPI number:** 1760607196
- **Authorized official:** DR. KENNETH TERRY PRATT D.D.S. (OWNER DOCTOR)
- **Authorized official phone:** (510) 522-7010

## Contact information

- **Practice address:** 2217 CENTRAL AVE, ALAMEDA, CA 94501-4410
- **Practice address phone:** (510) 522-7010
- **Practice address fax:** (510) 522-2654
- **Mailing address:** 2217 CENTRAL AVE, ALAMEDA, CA 94501-4410
- **Mailing address phone:** (510) 522-7010
- **Mailing address fax:** (510) 522-2654

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | D20716 | CA | Yes |

## Other

- **Enumeration date:** 04/13/2007
- **Last updated:** 08/22/2020