Blake Prather, DDS
NPI 1356636799 · on the registry since 2011
Practice
- Address
- 112 E Alto Rd
Kokomo, IN 46902 - Phone
- (765) 455-2505
- Fax
- (765) 455-2564
- Organisation at this address
- Kokomo Endodontics Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-06-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana