Individual
CHANCE AUSTIN PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2816 COLUMBIANA RD, VESTAVIA HILLS, AL 35216-2518
(205) 823-3223
Mailing address
2816 COLUMBIANA RD, VESTAVIA HILLS, AL 35216-2518
(205) 823-3223
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D.007207-C1
AL
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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