Joel W. Pratt, D.D.S.
Individual provider Active NPI General Practice Dentistry · Unionville, MO
NPI 1710035852 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1710035852
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 012738 (MO)
- Practice address
- 102 S 17TH St
Unionville, MO 63565-1631 - Phone
- (660) 947-3036
- Fax
- (660) 947-7706
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 012738 | MO | Yes |
Addresses
Primary practice location
102 S 17TH St
Unionville, MO 63565-1631
Mailing address
102 S 17TH St
P.O. Box 188
Unionville, MO 63565-1631
Phone (660) 947-3036
Other providers in Unionville, MO
- Katherine A Krueger
- L.a. Medical LLC
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- Patient Care and Footware LLC
- Jill Payne
- Putnam County Ambulance District
- Putnam County Health Department
- Putnam County Medical Home Clinics, LLC
- Putnam County Memorial Hospital
- Putnam County Memorial Hospital
All providers in Unionville, MO · General Practice Dentistry in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.