Individual
DR. NANCY K PRUETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4715 STATESMEN DR, SUITE G, INDIANAPOLIS, IN 46250-5642
(317) 255-4447
(317) 255-4427
Mailing address
4715 STATESMEN DR, SUITE G, INDIANAPOLIS, IN 46250-5642
(317) 255-4447
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008217
IN
Other
Enumeration date
01/11/2006
Last updated
07/08/2007
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