Healthcare Provider Details

I. General information

NPI: 1427373984
Provider Name (Legal Business Name): DONALD PRITCHETT JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2010
Last Update Date: 08/31/2023
Certification Date: 08/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NAVAL HOSPITAL YOKOSUKA JAPAN PSC 475 B.O.X 1
FPO AP
96350-1200
US

IV. Provider business mailing address

NAVAL HOSPITAL YOKOSUKA JAPAN PSC 475 BOX 1
FPO AP
96350-1200
US

V. Phone/Fax

Practice location:
  • Phone: 46-816-7144
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number4701
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number4701
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: