Gordon Pratt Jr DDS Ms PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

10443 Issued in TX

Legal business name

GORDON PRATT JR DDS MS PA

Practice address

2011C E Villa Maria
Bryan, TX 77802

Phone

(979) 776-8689

Fax

(979) 776-1335

NPI assigned

Nov 29, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gordon Alfred Pratt Jr., DDS

Title

Owner President

Phone

(979) 776-8689

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1003983453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011C E VILLA MARIA",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "77802",
            "telephone_number": "979-776-8689",
            "fax_number": "979-776-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011C E VILLA MARIA",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "77802",
            "telephone_number": "979-776-8689",
            "fax_number": "979-776-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON PRATT JR DDS MS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "ALFRED",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "979-776-8689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "10443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grantlan Layton Goodale, PHARMD, RPH
• Jennifer Ann Goode
• Takayius Gooden
• Jude P Goodwin, D.D.S.
• Fara Diane Goodwyn, M.ED., BCBA
• Amber Gordon
• Grace Pongnea Gorman
• Cynthia Ann Gosnell, PH.D.
• Michael Allen Gotowka, PSY.D.
• Kathryn Gowers, PA-C

• Orthodontics and Dentofacial Orthopedics Dentistry in Bryan, TX
• Providers in Bryan, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.