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Organization
RYAN T. PRUITT, D.M.D & ASSOCIATES P.A.
Active
Organization
RYAN T. PRUITT, D.M.D & ASSOCIATES P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN T PRUITT DMD (OWNER)
(252) 756-3313
Entity
Organization
Contact information
Practice address
2446 EMERALD PL, GREENVILLE, NC 27834-5784
(252) 756-3313
(252) 756-0146
Mailing address
2446 EMERALD PL, GREENVILLE, NC 27834-5784
(252) 756-3313
(252) 756-0146
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487832960
LLC
NC
Enumeration date
06/08/2022
Last updated
06/08/2022
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