Thomas Mitchell Prater D.D.S.

NPI 1003891490 - Dentist - 122300000X

NPI Details
NPI 1003891490
Gender Male
Enumeration Date 12/08/2005
Last Updated 08/02/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
5722 INTEGRITY DR
BLDG. S771
MILLINGTON TN, 38054-5028, US
Phone (901) 874-5361
Fax
Business Location
5722 INTEGRITY DRIVE
BLDG. S771
MILLINGTON TN, 38054, US
Phone (901) 874-5361
Fax
Toxanomy
Taxonomy Code 122300000X
License State Tennessee
License Number 5372
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According to our database, Dr. Thomas Mitchell Prater D.D.S. NPI is 1003891490, taxonomy code is 122300000X and license number is 5372, license state is located at Tennessee. Thomas Mitchell Prater D.D.S. physically located at 5722 Integrity Dr, Millington TN, 38054-5028. NPI Number Thomas Mitchell Prater D.D.S. has the Individual type.

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1003891490 NPI number is provided on an as is basis without warranty of any kind. 1003891490 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Mitchell Prater D.D.S. are for informational purposes only.