Healthcare Provider Details

I. General information

NPI: 1295901734
Provider Name (Legal Business Name): DON HENRY PRATTEN D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2008
Last Update Date: 05/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5016 CALIFORNIA AVE SW #101
SEATTLE WA
98136-1232
US

IV. Provider business mailing address

1916 PIKE PL STE 12-181
SEATTLE WA
98101-1056
US

V. Phone/Fax

Practice location:
  • Phone: 206-937-1010
  • Fax:
Mailing address:
  • Phone: 206-992-3493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberDE00004972
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: