Individual
JOSHUA SCOTT PRATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
214 E 2ND ST, FULTON, MO 65251-1650
(573) 642-6624
(573) 642-6210
Mailing address
214 E 2ND ST, FULTON, MO 65251-1650
(573) 642-6624
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2017039563
MO
1223G0001X
General Practice Dentistry
61388
KS
Other
Enumeration date
05/26/2017
Last updated
12/03/2021
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