DR. Randon Prather, D.M.D.

NPI #1013321678 in Benton, Kentucky

Provider Information

NPI Number: 1013321678
Entity Type: Individual
Name: DR. Randon Prather, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Jun 11, 2014
Last Updated: Jun 11, 2014

Practice Location

Address: 1301 OLIVE ST
City: Benton
State: Kentucky
ZIP Code: 42025-1640
Phone: (270) 527-1479

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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