Jeffrey D Pruiett is a Dentist in Yakima, Washington. Jeffrey D Pruiett practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jeffrey D Pruiett is 1366507683. The last update date is 2007-07-08.
Jeffrey D Pruiett's current location address is 719 N 39th Ave, Yakima, Washington. You can contact this provider via phone number 5094533350 and fax number 5094533860. The mailing address for Jeffrey D Pruiett is 719 N 39th Ave, Yakima, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey D Pruiett |
|---|---|
| Address | 719 N 39th Ave, Yakima, Washington |
| Phone Number | 5094533350 |
| Fax Number | 5094533860 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1366507683 |
|---|---|
| Provider Enumeration Date | 2006-12-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 719 N 39th Ave |
|---|---|
| City | Yakima |
| State | Washington (WA) |
| Post Code | 989026302 |
| Phone Number | 5094533350 |
| Fax Number | 5094533860 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DE00006385 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5009584 | WA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jeffrey D Pruiett?
The Jeffrey D Pruiett has been issued the NPI (National Provider Identifier) 1366507683 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jeffrey D Pruiett's facilities are situated?
The facilities of Jeffrey D Pruiett are physically located at the following address: 719 N 39Th Ave, Yakima, WA, 989026302.
What is Jeffrey D Pruiett's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeffrey D Pruiett's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1366507683 to Jeffrey D Pruiett?
The Centers for Medicare & Medicaid Services originally issued the 1366507683 to Jeffrey D Pruiett on 2006-12-27.
When was the information pertaining to Jeffrey D Pruiett most recently updated or revised?
The details related to Jeffrey D Pruiett, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.