Individual
DR. NICOLE BATE PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
102 S VENTURE DR, GREENVILLE, SC 29615-3571
(864) 234-9800
(864) 234-9820
Mailing address
102 S VENTURE DR, GREENVILLE, SC 29615-3571
(864) 234-9800
(864) 234-9820
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
11314
SC
1223P0221X
Pediatric Dentistry
23526
TX
1223P0221X
Pediatric Dentistry
7406
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186505701
—
TX
Enumeration date
01/28/2006
Last updated
04/22/2026
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