Joshua S. Prather DDS, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JOSHUA S. PRATHER DDS, LLC

Doing business as

Fulton Dental Center

Practice address

214 E 2ND St
Fulton, MO 65251-1650

Phone

(573) 289-0666

NPI assigned

Aug 12, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Joshua S Prather, DDSNPI 1689102238

Title

Owner/Dentist

Phone

(573) 289-0666

Specialties & licenses 1

Addresses

Other names 1

• Fulton Dental Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua Scott Prather, DDS

  • General Practice Dentistry
  • Fulton, MO
  • NPI 1689102238
  NPD Authorized official

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1316558307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5810 MORNING STAR CT",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652031501",
            "telephone_number": "573-289-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E 2ND ST",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652511650",
            "telephone_number": "573-289-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA S. PRATHER DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "PRATHER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "573-289-0666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fulton Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Fulton, MO
• Providers in Fulton, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.