Organization
ERIN PRUITT, DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN PRUITT D.M.D. (DENTIST)
(864) 282-8555
Entity
Organization
Contact information
Practice address
870 CLEVELAND ST STE 2C, GREENVILLE, SC 29601-4428
(864) 282-8555
Mailing address
870 CLEVELAND ST STE 2C, GREENVILLE, SC 29601-4428
(864) 282-8555
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4460
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX4460
—
SC
Enumeration date
09/09/2014
Last updated
09/09/2014
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