Individual
JUSTIN W PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
830 S MAYO TRL, PAINTSVILLE, KY 41240-1384
(606) 372-5000
Mailing address
830 S MAYO TRL, PAINTSVILLE, KY 41240-1384
(606) 372-5000
(606) 349-5123
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8756
KY
1223G0001X
General Practice Dentistry
Primary
8756
KY
Other
Enumeration date
06/08/2009
Last updated
11/02/2023
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