| Jennifer H. Pruitt Dmd | |
|
6118 Mcclellan Blvd Anniston AL 36206-8403 | |
| (256) 820-4821 | |
| (256) 820-2219 |
| Full Name | Jennifer H. Pruitt Dmd |
|---|---|
| Speciality | Dentist |
| Location | 6118 Mcclellan Blvd, Anniston, Alabama |
| Authorized Official Name and Position | Michael A. Pruitt (PERSONAL REPRESENTATIVE OF ESTATE) |
| Authorized Official Contact | 2569272600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer H. Pruitt Dmd 6118 Mcclellan Blvd Anniston AL 36206-8403 Ph: (256) 820-4821 | Jennifer H. Pruitt Dmd 6118 Mcclellan Blvd Anniston AL 36206-8403 Ph: (256) 820-4821 |
| NPI Number | 1144470170 |
|---|---|
| Provider Enumeration Date | 09/26/2008 |
| Last Update Date | 09/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144470170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5219 (Alabama) | Primary |
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