Individual
DR. SAMUEL NEWTON PRATT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
219 1ST ST, MONCKS CORNER, SC 29461-3726
(843) 761-8142
(843) 761-1690
Mailing address
219 1ST ST, MONCKS CORNER, SC 29461-3726
(843) 761-8142
(843) 761-1690
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-2819
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z28195
—
SC
Enumeration date
05/03/2006
Last updated
12/09/2013
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