Provider Demographics
NPI:1760511166
Name:PRATTE, BERNARD S (DDS)
Entity Type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:S
Last Name:PRATTE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 W LOUIS ST
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE DU CHIEN
Mailing Address - State:WI
Mailing Address - Zip Code:53821-1410
Mailing Address - Country:US
Mailing Address - Phone:608-326-6993
Mailing Address - Fax:
Practice Address - Street 1:107 W LOUIS ST
Practice Address - Street 2:
Practice Address - City:PRAIRIE DU CHIEN
Practice Address - State:WI
Practice Address - Zip Code:53821-1410
Practice Address - Country:US
Practice Address - Phone:608-326-6993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5000861223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics