Provider Demographics
NPI:1558839498
Name:KEVIN PRATES DDS, PC
Entity Type:Organization
Organization Name:KEVIN PRATES DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PRATES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:707-815-0451
Mailing Address - Street 1:1002 10TH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-1564
Mailing Address - Country:US
Mailing Address - Phone:541-386-2020
Mailing Address - Fax:541-386-8787
Practice Address - Street 1:1002 10TH ST STE 1
Practice Address - Street 2:
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031-1564
Practice Address - Country:US
Practice Address - Phone:541-386-2020
Practice Address - Fax:541-386-8787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-08
Last Update Date:2018-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental