Organization
IVY PRUITT DMD PLLC
Active
Other names
Main Street Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IVY ELIZABETH PRUITT DMD (PRACTICE OWNER, ENDODONTIST)
(617) 850-5032
Entity
Organization
Contact information
Practice address
303 MAIN ST, SUITE 1A, FIRST FLOOR, WORCESTER, MA 01608
(617) 850-5032
Mailing address
98 WILLIAM ST, WORCESTER, MA 01609
(617) 850-5032
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
10/15/2025
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