DR. ISAAC EDMUNDSON PRATT (NPI# 1548534035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548534035 |
| Entity Type | Individual |
| Full Name | DR. ISAAC EDMUNDSON PRATT |
| Credential | DDS,MSD |
| Practice Address |
1712 S Country Club Dr Ste 104 Mesa AZ 85210-6046 |
| Mailing Address |
4304 E Campbell Ave Apt 2009 Phoenix AZ 85018-3774 |
| Practice Telephone | 4803760593 |
| Mailing Telephone | 7188448443 |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2019-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
D010237 | AZ | Dental Providers |
| Street Address |
1712 S COUNTRY CLUB DR STE 104 |
| City | MESA |
| State | AZ |
| Zip Code | 85210-6046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164918157 | Richard Huynh | Dentist | 1712 S Country Club Dr Ste 104, Mesa, AZ 85210-6046 | 2018-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497382501 | Mesa Center for Family Medicine | Internal Medicine | 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 | 2020-03-26 |
| 1780177121 | Jessica Cannata | Speech-Language Pathologist | 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 | 2018-06-11 |
| 1831680305 | Alexandra Katherine Ebong | Nurse Practitioner | 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 | 2018-05-21 |
| 1548762719 | Russell D. Meldrum, M.d. Pllc | Orthopaedic Surgery | 855 W. Southern Ave., #1114, Mesa, AZ 85210 | 2018-03-05 |
| 1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
| 1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
| 1295264000 | Ashley P Smith | Naturopath | 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 | 2017-06-06 |
| 1386184059 | Brittany Johnson | Counselor | 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 | 2017-03-01 |
| 1487190880 | Mesa Valley Modern Dentistry, LLP | Dentist | 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 | 2017-01-10 |
| 1821544529 | Sandra Coren | Licensed Practical Nurse | 32 S Mcdonald, Tlc, Mesa, AZ 85210 | 2016-09-01 |
| Find all providers in zip 85210 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366962995 | Mesa Endodontics Pllc | Dentist | 2855 E Brown Rd Ste 15, Mesa, AZ 85213-4216 | 2017-06-25 |
| 1255762175 | Stephen L. Walker Dds Pllc | Dentist | 2220 W Southern Ave Ste 102, Mesa, AZ 85202-4706 | 2013-12-03 |
| 1750655627 | Jonathan Bruce Barnes | Dentist | 1630 S Stapley Dr Ste 208, Mesa, AZ 85204-6659 | 2012-02-23 |
| 1770898488 | David Glen Mortenson | Dentist | 2208 S Barrington, Mesa, AZ 85209-5328 | 2010-08-18 |
| 1013126101 | Raymond Mcready Travis Vanderwerf | Dentist | 1630 S Stapley Dr, #208, Mesa, AZ 85204-6657 | 2007-05-22 |
| 1861544256 | Superstition Springs Endodontics, LLP | Dentist | 6755 E Superstition Springs Blvd Ste 101, Mesa, AZ 85206-4375 | 2007-01-17 |
| 1255493151 | James D. Hamberlin | Dentist | 1056 S Val Vista Dr Ste 3, Mesa, AZ 85204-5671 | 2006-12-15 |
| 1720166499 | Stephen L. Walker | Dentist | 2220 W Southern Ave, 102, Mesa, AZ 85202-4772 | 2006-11-01 |
| 1225115942 | Brian Allen Christopherson | Dentist | 1635 N Greenfield Rd Ste 119, Mesa, AZ 85205-4010 | 2006-11-01 |
| 1083668230 | Endodontic Specialists Ltd | Dentist | 2220 W Southern Avenue, Suite #102, Mesa, AZ 85202-4704 | 2006-05-20 |
| Find all providers in MESA | ||||
Please comment or provide details below to improve the information on DR. ISAAC EDMUNDSON PRATT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.