Bonita Lynn Pruitt in Fort Drum - Pediatric Dentistry
Bonita Lynn Pruitt - NPI 1770562415
Bonita Lynn Pruitt is a Pediatric Dentistry in Fort Drum, New York. Bonita Lynn Pruitt practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Bonita Lynn Pruitt is 1770562415. The last update date is 2007-07-08.
Bonita Lynn Pruitt's current location address is Us Army Dental Activity Attn Credentials Coordinator, Fort Drum, New York. You can contact this provider via phone number 3157724342 and fax number 3157729692. The mailing address for Bonita Lynn Pruitt is Us Army Dental Activity Attn Credentials Coordinator, Fort Drum, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | Bonita Lynn Pruitt |
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Address | Us Army Dental Activity Attn Credentials Coordinator, Fort Drum, New York |
Phone Number | 3157724342 |
Fax Number | 3157729692 |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1770562415 |
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Provider Enumeration Date | 2006-01-11 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | Us Army Dental Activity Attn Credentials Coordinator |
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City | Fort Drum |
State | New York (NY) |
Post Code | 136035005 |
Phone Number | 3157724342 |
Fax Number | 3157729692 |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Dentistry |
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Taxonomy | 1223P0221X |
Licence No | 14977 |
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Bonita Lynn Pruitt by the Centers for Medicare & Medicaid Services?
The Bonita Lynn Pruitt has been issued the NPI (National Provider Identifier) 1770562415 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Bonita Lynn Pruitt's facilities are geographically located?
The facilities of Bonita Lynn Pruitt are physically situated at the following location: Us Army Dental Activity Attn Credentials Coordinator, Fort Drum, NY, 136035005.
What is Bonita Lynn Pruitt's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bonita Lynn Pruitt's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
What is Bonita Lynn Pruitt's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bonita Lynn Pruitt is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.
As of what date was the information regarding Bonita Lynn Pruitt, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bonita Lynn Pruitt, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1881683084
Address: 10400 Academy Rd Ne, Albuquerque, NM