Provider Demographics
NPI:1093805905
Name:BRATCHER, BEN ALLEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:BEN
Middle Name:ALLEN
Last Name:BRATCHER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:MR
Other - First Name:BEN
Other - Middle Name:ALLEN
Other - Last Name:BRATCHER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:240 E HIGHWAY 243
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:TX
Mailing Address - Zip Code:75103-2315
Mailing Address - Country:US
Mailing Address - Phone:903-567-5522
Mailing Address - Fax:
Practice Address - Street 1:240 E HIGHWAY 243
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:TX
Practice Address - Zip Code:75103-2315
Practice Address - Country:US
Practice Address - Phone:903-567-4881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16687122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist