Individual
LARRY J PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
223 N SPRING ST, SPARTA, TN 38583-1425
(931) 836-8182
Mailing address
223 N SPRING ST, SPARTA, TN 38583-1425
(931) 836-8182
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS2995
TN
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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