NPI: 1427299874
Provider Name: MICHAEL PRUITT DBA JENNIFER H. PRUITT, D.M.D.
Other Name: JENNIFER H. PRUITT, D.M.D.
Classification: Dentist - 1223G0001X
Entity Type: Organization
Specialization: General Practice
Address:
6118 MCCLELLAN BLVD
ANNISTON, AL
ZIP 36206
Phone: (256) 820-4821
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MICHAEL PRUITT DBA JENNIFER H. PRUITT, D.M.D. is a general practice dentist in Anniston, AL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MICHAEL PRUITT DBA JENNIFER H. PRUITT, D.M.D. NPI is 1427299874. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Jennifer H. Pruitt, D.m.d..
The provider's business location address is:
6118 MCCLELLAN BLVD
ANNISTON, AL
ZIP 36206-403
Phone: (256) 820-4821
The provider's authorized official is Michael A. Pruitt .
The authorized official title is Personal Represenative Of Estate and has the following contact phone number (256) 820-4821.
The enumeration date for this NPI number is 3/16/2009 and was last updated on 3/16/2009.