Organization
HENRY F. PRUETT, JR., D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY FLOYD PRUETT JR. D.D.S. (PRESIDENT)
(850) 476-2552
Entity
Organization
Contact information
Practice address
466 E NINE MILE RD, PENSACOLA, FL 32514-1441
(850) 476-2552
(850) 479-9861
Mailing address
466 E NINE MILE RD, PENSACOLA, FL 32514-1441
(850) 476-2552
(850) 479-9861
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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