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Individual

CARSON ALEXANDER PRUITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2117 1ST AVE N, BIRMINGHAM, AL 35203-4201
(205) 238-6800
(205) 322-6100
Mailing address
2117 1ST AVE N, BIRMINGHAM, AL 35203-4201
(205) 238-6800
(205) 322-6100

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-0006891-C1
AL

Other

Enumeration date
06/14/2021
Last updated
02/21/2024
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