Randon S. Prather, D.m.d., P.s.c.

NPI #1306235619 in Benton, Kentucky

Provider Information

NPI Number: 1306235619
Entity Type: Organization
Organization Name: Randon S. Prather, D.m.d., P.s.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 11, 2015
Last Updated: Jan 11, 2015

Practice Location

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

Authorized Official

Name: DR. RANDON SCOTT PRATHER, D.M.D.
Title: PRESIDENT
Phone: (270) 527-1479

Specialties & Taxonomy Codes

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

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