Robert William Pratt, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7143 Issued in SC

Practice address

53 Windermere Blvd
Charleston, SC 29407-7411

Phone

(843) 225-0111

NPI assigned

Feb 28, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pratt Dental, LLC

  dba Bridge Dental

  • Dental Clinic/Center
  • Charleston, SC
  • NPI 1811587488
  NPD Authorized official
• Bridge Dental LLC

  • General Practice Dentistry
  • Charleston, SC
  • NPI 1598099947
  NPD (past)

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1235436239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 WINDERMERE BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077411",
            "telephone_number": "843-697-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 WINDERMERE BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077411",
            "telephone_number": "843-225-0111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "237 Ashley Ave",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294035250",
            "country_code": "US",
            "telephone_number": "843-697-0144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRATT",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-28",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "7143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaella Maloney Prasad, M.D.
• Sandip M Prasad, MD, MPHIL
• Amanda Prater, PA-C
• Pratt Dental, LLC (Bridge Dental)
• Katherine Elizabeth Pratt, D.P.M.
• Jessica Ann Pray-Holmes
• Precision Molecular Solutions LLC (Precision Genetics)
• Teresa D Preer, LPC
• Premier PA Consulting, LLC
• Jaclyn Marie Prendergast, OTR/L

• General Practice Dentistry in Charleston, SC
• Providers in Charleston, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.