Individual
DR. GREGORY D PRATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
301 PARK AVE, SOUTH POINT, OH 45680-9635
(740) 377-2219
(740) 377-4987
Mailing address
PO BOX 512, SOUTH POINT, OH 45680-0512
(740) 377-2219
(740) 377-4987
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17404
OH
1223G0001X
General Practice Dentistry
2707
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0579084
—
OH
Enumeration date
10/24/2006
Last updated
07/08/2007
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