Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
ELISE PRUETT DDS PLLC
Active
Organization
ELISE PRUETT DDS PLLC
Active
Other names
Coppell Heritage Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ELISE ELAINE PRUETT DDS (OWNER)
(972) 304-0891
Entity
Organization
Contact information
Practice address
301 S DENTON TAP RD, STE 110, COPPELL, TX 75019
(972) 304-0891
(972) 304-0893
Mailing address
301 S DENTON TAP RD, STE 110, COPPELL, TX 75019
(972) 304-0891
(972) 304-0893
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28899
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558791004
NPI TYPE 1
TX
Enumeration date
08/31/2016
Last updated
08/31/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers