Individual
DR. RANDON PRATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1301 OLIVE ST, BENTON, KY 42025-1640
(270) 527-1479
(270) 527-3192
Mailing address
PO BOX 585, BENTON, KY 42025-0585
(270) 527-1479
(270) 527-3192
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9492
KY
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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