Terry Pratt D.D.S., Inc. in Alameda - Oral And Maxillofacial Surgery

Terry Pratt D.D.S., Inc. - NPI 1760607196

Terry Pratt D.D.S., Inc. is a Oral And Maxillofacial Surgery in Alameda, California. Terry Pratt D.D.S., Inc. practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Terry Pratt D.D.S., Inc. is 1760607196. The last update date is 2020-08-22.

Terry Pratt D.D.S., Inc.'s current location address is 2217 Central Ave, Alameda, California. You can contact this provider via phone number 5105227010 and fax number 5105222654. The mailing address for Terry Pratt D.D.S., Inc. is 2217 Central Ave, Alameda, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Terry Pratt D.D.S., Inc.
Address 2217 Central Ave, Alameda, California
Phone Number 5105227010
Fax Number 5105222654
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER DOCT
Authorized Official Name Pratt Terry Kenneth
Credentials D.D.S.
Telephone Number 5105227010

NPI Number Detail

NPI Number 1760607196
Provider Enumeration Date 2007-04-13
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 2217 Central Ave
City Alameda
State California (CA)
Post Code 945014410
Phone Number 5105227010
Fax Number 5105222654

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No D20716
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
D20716 CA DENTAL LICENSE

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FAQs about Terry Pratt D.D.S., Inc.

What is the Terry Pratt D.D.S., Inc.'s 1760607196?

The Terry Pratt D.D.S., Inc.'s NPI (National Provider Identifier) Number is 1760607196. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Terry Pratt D.D.S., Inc.?

The Terry Pratt D.D.S., Inc. is physically situated at 2217 Central Ave, in the city of Alameda, state of CA, with the postal code 945014410.

What is Terry Pratt D.D.S., Inc.'s area of expertise and its corresponding taxonomy classification?

The Terry Pratt D.D.S., Inc.'s field of specialization is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1760607196 to Terry Pratt D.D.S., Inc.?

The Centers for Medicare & Medicaid Services originally issued the 1760607196 to Terry Pratt D.D.S., Inc. on 2007-04-13.

When was the information regarding Terry Pratt D.D.S., Inc. most recently updated?

The details pertaining to the Terry Pratt D.D.S., Inc., including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.

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