| Erin Pruitt, Dmd, Pa | |
|
870 Cleveland St Ste 2c Greenville SC 29601-4428 | |
| (864) 282-8555 | |
| Not Available |
| Full Name | Erin Pruitt, Dmd, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 870 Cleveland St Ste 2c, Greenville, South Carolina |
| Authorized Official Name and Position | Erin Pruitt (DENTIST) |
| Authorized Official Contact | 8642828555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Erin Pruitt, Dmd, Pa 870 Cleveland St Ste 2c Greenville SC 29601-4428 Ph: (864) 282-8555 | Erin Pruitt, Dmd, Pa 870 Cleveland St Ste 2c Greenville SC 29601-4428 Ph: (864) 282-8555 |
| NPI Number | 1154722163 |
|---|---|
| Provider Enumeration Date | 09/09/2014 |
| Last Update Date | 09/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154722163 | NPI | - | NPPES |
| ZX4460 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4460 (South Carolina) | Primary |
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