# JEFFREY D PRUIETT DMD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jeffrey D Pruiett
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588017545
- **Authorized official:** MR. JEFFREY DONALD PRUIETT DMD (OWNER)
- **Authorized official phone:** (509) 453-3350

## Contact information

- **Practice address:** 719 N 39TH AVE STE 102, YAKIMA, WA 98902-6302
- **Practice address phone:** (509) 453-3350
- **Practice address fax:** (509) 453-3360
- **Mailing address:** 719 N 39TH AVE STE 102, YAKIMA, WA 98902-6302
- **Mailing address phone:** (509) 453-3350
- **Mailing address fax:** (509) 453-3360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6385 | WA | Yes |

## Other

- **Enumeration date:** 07/14/2016
- **Last updated:** 07/14/2016