Individual
DR. NICK A. PRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
13095 S MUR LEN RD, SUITE 160, OLATHE, KS 66062-1230
(913) 764-6222
(913) 764-5826
Mailing address
13095 S MUR LEN RD, SUITE 160, OLATHE, KS 66062-1230
(913) 764-6222
(913) 764-5826
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
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