| Dr Bonita Lynn Pruitt, DDS | |
|
Us Army Dental Activity Attn Credentials Coordinator, 10205 North Riva Ridge Loop, Fort Drum, NY 13603-5005 | |
| (315) 772-4342 | |
| (315) 772-9692 |
| Full Name | Dr Bonita Lynn Pruitt |
|---|---|
| Gender | Female |
| Speciality | Dentist - Pediatric Dentistry |
| Location | Us Army Dental Activity Attn Credentials Coordinator, Fort Drum, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770562415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 14977 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bonita Lynn Pruitt, DDS Us Army Dental Activity Attn Credentials Coordinator, 10205 North Riva Ridge Loop, Fort Drum, NY 13603-5005 Ph: (315) 772-4342 | Dr Bonita Lynn Pruitt, DDS Us Army Dental Activity Attn Credentials Coordinator, 10205 North Riva Ridge Loop, Fort Drum, NY 13603-5005 Ph: (315) 772-4342 |
Bailey Moorhead Beardsley, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-8891 | |
Britton Sterling Beckstead, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10590 Enduring Freedom Dr, Fort Drum, NY 13602 Phone: 315-772-5576 | |
Megan Eyre Bunting, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 10205 N Riva Ridge Loop, Fort Drum, NY 13602 Phone: 315-772-1918 | |
Mark Robert Voelker, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 10590 Enduring Freedom Dr, Fort Drum, NY 13602 Phone: 315-772-5576 | |
Dr. Donald E Cole, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: Us Army Dental Activity / Credentials, 10590 Enduring Freedom Drive, Fort Drum, NY 13602 Phone: 315-772-6234 Fax: 315-774-3558 | |
Dr. Ralf Beilhardt, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10590 Enduring Freedom Dr, Fort Drum, NY 13602 Phone: 315-772-4342 | |
Corey M Day, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10590 Enduring Freedom Dr, Fort Drum, NY 13602 Phone: 315-772-2294 |