David Mark Prator in Wasilla - Dentist

David Mark Prator - NPI 1205010246

David Mark Prator is a Dentist in Wasilla, Alaska. David Mark Prator practices all healthcare services and medical treatments related to Dentist. The NPI Number for David Mark Prator is 1205010246. The last update date is 2007-12-27.

David Mark Prator's current location address is P O B 876869, Wasilla, Alaska. You can contact this provider via phone number 9073768400 and fax number 9073768402. The mailing address for David Mark Prator is P O B 876869, Wasilla, Alaska. To know further, please read the information below!

Provider Profile Detail

Provider Name David Mark Prator
Address P O B 876869, Wasilla, Alaska
Phone Number 9073768400
Fax Number 9073768402
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1205010246
Provider Enumeration Date 2007-12-27
Last Updated Date 2007-12-27

Provider Mailing Address Detail

Address P O B 876869
City Wasilla
State Alaska (AK)
Post Code 99687
Phone Number 9073768400
Fax Number 9073768402

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 464
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DD4640 AK --

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FAQs about David Mark Prator

What is the unique identification code assigned to David Mark Prator by the Centers for Medicare & Medicaid Services?

The David Mark Prator has been issued the NPI (National Provider Identifier) 1205010246. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where David Mark Prator is located?

The David Mark Prator is situated at the following address: P O B 876869, Wasilla, AK, 99687.

What is David Mark Prator's area of expertise and its corresponding taxonomy classification?

The David Mark Prator's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.

On what date did David Mark Prator receive its 1205010246 assignment from the Centers for Medicare & Medicaid Services?

The David Mark Prator was assigned its 1205010246 on 2007-12-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to David Mark Prator most recently updated or revised?

The details related to David Mark Prator, including its address, specialty, and other relevant information, were last updated or revised on 2007-12-27.

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