Brenton Lyle Prather in El Dorado - General Practice
Brenton Lyle Prather - NPI 1396915534
Brenton Lyle Prather is a General Practice in El Dorado, Arkansas. Brenton Lyle Prather practices all healthcare services and medical treatments related to General Practice. The NPI Number for Brenton Lyle Prather is 1396915534. The last update date is 2020-01-08.
Brenton Lyle Prather's current location address is 347 W Oak St Ste B, El Dorado, Arkansas. You can contact this provider via phone number 8708624543 and fax number 8708624542. The mailing address for Brenton Lyle Prather is 347 W Oak St Ste B, El Dorado, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brenton Lyle Prather |
|---|---|
| Address | 347 W Oak St Ste B, El Dorado, Arkansas |
| Phone Number | 8708624543 |
| Fax Number | 8708624542 |
| Sole Proprietor | Y |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1396915534 |
|---|---|
| Provider Enumeration Date | 2008-03-04 |
| Last Updated Date | 2020-01-08 |
Provider Mailing Address Detail
| Address | 347 W Oak St Ste B |
|---|---|
| City | El Dorado |
| State | Arkansas (AR) |
| Post Code | 717304564 |
| Phone Number | 8708624543 |
| Fax Number | 8708624542 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 3648 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identification code assigned to Brenton Lyle Prather by the Centers for Medicare & Medicaid Services?
The Brenton Lyle Prather has been issued the NPI (National Provider Identifier) 1396915534. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Brenton Lyle Prather's facilities are geographically located?
The facilities of Brenton Lyle Prather are physically situated at the following location: 347 W Oak St Ste B, El Dorado, AR, 717304564.
What is the Brenton Lyle Prather's area of specialization and corresponding taxonomy classification?
The Brenton Lyle Prather's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
When did the Brenton Lyle Prather receive its 1396915534?
The Brenton Lyle Prather was issued its 1396915534 on 2008-03-04, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Brenton Lyle Prather most recently updated or revised?
The details related to Brenton Lyle Prather, including its address, specialty, and other relevant information, were last updated or revised on 2020-01-08.
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