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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