Individual
DR. ROBERT PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
113 KENNEDY DR, MARTIN, TN 38237-3344
(731) 587-4742
Mailing address
113 KENNEDY DR, MARTIN, TN 38237-3344
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12015
TN
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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