| Jeffrey D Pruiett | |
|
719 N 39th Ave Ste 102 Yakima WA 98902-6302 | |
| (509) 453-3350 | |
| (509) 453-3360 |
| Full Name | Jeffrey D Pruiett |
|---|---|
| Speciality | Dentist |
| Location | 719 N 39th Ave Ste 102, Yakima, Washington |
| Authorized Official Name and Position | Jeffrey Donald Pruiett (OWNER) |
| Authorized Official Contact | 5094533350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey D Pruiett 719 N 39th Ave Ste 102 Yakima WA 98902-6302 Ph: (509) 453-3350 | Jeffrey D Pruiett 719 N 39th Ave Ste 102 Yakima WA 98902-6302 Ph: (509) 453-3350 |
| NPI Number | 1588017545 |
|---|---|
| Provider Enumeration Date | 07/14/2016 |
| Last Update Date | 07/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588017545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6385 (Washington) | Primary |
Yakima Oral Surgery Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4207 Tieton Dr, Yakima, WA 98908 Phone: 509-965-8911 Fax: 509-965-6143 | |
Mark C Young Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 314 So 12th Ave, Suite #3, Yakima, WA 98902 Phone: 509-453-4504 Fax: 509-573-4941 | |
Shawn R Mcdevitt Dds Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 S 11th Ave, Yakima, WA 98902 Phone: 509-453-5568 Fax: 509-453-5698 | |
Yakima Oral And Maxillofacial Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4207 Tieton Dr, Yakima, WA 98908 Phone: 509-965-8911 Fax: 509-965-0482 | |
David A Clark Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4209 Tieton Dr Ste 102, Yakima, WA 98908 Phone: 509-966-2230 Fax: 509-966-8812 | |
David A Clark Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4209 Tieton Dr Ste 102, Yakima, WA 98908 Phone: 509-966-2230 Fax: 509-966-8812 | |
David E Moore Dds, Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 N 11th Ave Ste 107, Yakima, WA 98902 Phone: 509-457-4532 Fax: 509-453-0175 |