| Ivy Pruitt Dmd Pllc | |
|
303 Main St Suite 1a, First Floor Worcester MA 01608 | |
| (617) 850-5032 | |
| Not Available |
| Full Name | Ivy Pruitt Dmd Pllc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 303 Main St, Worcester, Massachusetts |
| Authorized Official Name and Position | Ivy Elizabeth Pruitt (PRACTICE OWNER, ENDODONTIST) |
| Authorized Official Contact | 6178505032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivy Pruitt Dmd Pllc 98 William St Worcester MA 01609 Ph: (617) 850-5032 | Ivy Pruitt Dmd Pllc 303 Main St Suite 1a, First Floor Worcester MA 01608 Ph: (617) 850-5032 |
| NPI Number | 1861246993 |
|---|---|
| Provider Enumeration Date | 04/15/2024 |
| Last Update Date | 04/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861246993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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