Individual
DR. NICK A. PRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5536
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
069961
BLUE CROSS OF KANSAS
KS
01
—
08345013
BLUE CROSS OF MISSOURI
MO
01
—
579420
UNITED CONCORDIA
KS
Enumeration date
06/12/2006
Last updated
07/08/2007
Update your record
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