Individual
DR. RYAN THOMAS PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3769 SUNSET AVE, ROCKY MOUNT, NC 27804-3327
(336) 682-7157
Mailing address
3769 SUNSET AVE, ROCKY MOUNT, NC 27804-3327
(252) 443-0048
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10355
NC
Other
Enumeration date
05/23/2016
Last updated
02/12/2020
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