Cottonwood Dental Pratt, P.a.
Organization Active NPI Dentist · Pratt, KS
NPI 1336724749 · NPPES record last updated Mar 17, 2021
Key facts
- NPI
- 1336724749
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- COTTONWOOD DENTAL PRATT, P.A.
- Practice address
- 603 S Main St
Pratt, KS 67124-2630 - Phone
- (620) 672-9922
- NPI assigned
- Mar 17, 2021
- Organization subpart
- No
Authorized official
- Name
- Mike Yates
- Title
- Cfo
- Phone
- (918) 998-0996
Practitioners 2
-
Kole Robert Lopez, DDS
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
603 S Main St
Pratt, KS 67124-2630
Mailing address
400 Riverwalk Ter Ste 250
Jenks, OK 74037-5619
Phone (918) 998-0996
Other providers in Pratt, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.