ELISE PRUETT DDS PLLC NPI 1568918373

NPI Information

  • NPI: 1568918373
  • Provider Name: ELISE PRUETT DDS PLLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: COPPELL HERITAGE DENTISTRY
  • Address: 301 S DENTON TAP RD
    STE 110
    COPPELL, TX
    ZIP 75019
  • Phone: (972) 304-0891

Map and Directions

Get Directions

NPI Details

ELISE PRUETT DDS PLLC is a general practice dentist in Coppell, TX. 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. ELISE PRUETT DDS PLLC NPI is 1568918373. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Coppell Heritage Dentistry.

The provider's business location address is:

301 S DENTON TAP RD
STE 110
COPPELL, TX
ZIP 75019
Phone: (972) 304-0891
Fax: (972) 304-0893

The provider's authorized official is Elise Elaine Pruett .
The authorized official title is Owner and has the following contact phone number (972) 304-0891.

The enumeration date for this NPI number is 8/31/2016 and was last updated on 8/31/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice28899TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11558791004OTHERTEXASNPI TYPE 1

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI