DR. Jillian Renae Prather, D.M.D.

NPI #1851742589 in Owasso, Oklahoma

Provider Information

NPI Number: 1851742589
Entity Type: Individual
Name: DR. Jillian Renae Prather, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Jun 23, 2016
Last Updated: Jun 23, 2016

Practice Location

Address: 12814 E 101ST PL N
Address 2: #101
City: Owasso
State: Oklahoma
ZIP Code: 74055-4662
Phone: (918) 274-4466

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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