Provider Demographics
NPI:1598889271
Name:KENDRA COVINGTON PRATT, DDS, MS, PA
Entity Type:Organization
Organization Name:KENDRA COVINGTON PRATT, DDS, MS, PA
Other - Org Name:TERRAMONT ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KENDRA
Authorized Official - Middle Name:COVINGTON
Authorized Official - Last Name:PRATT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:281-367-0050
Mailing Address - Street 1:23322 TRIPLE SPUR LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-8291
Mailing Address - Country:US
Mailing Address - Phone:281-702-2088
Mailing Address - Fax:
Practice Address - Street 1:10110 WOODLANDS PKWY
Practice Address - Street 2:SUITE 600
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77382
Practice Address - Country:US
Practice Address - Phone:281-367-0050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX217771223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty