DR. CHASE PRUITT, DDS, MD
Dentist - Oral and Maxillofacial Surgery
Active
Individual
NPI: 1245543842
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Oral and Maxillofacial Surgery | 1223S0112X | Yes | 7127 (NE) |
| Oral & Maxillofacial Surgery | 204E00000X | No | 28850 (NE) |
Frequently Asked Questions
NPI 1245543842 is the National Provider Identifier for DR. CHASE PRUITT, DDS, MD, a Dentist - Oral and Maxillofacial Surgery provider located in Omaha, NE. This NPI was enumerated on July 23, 2010.
DR. CHASE PRUITT, DDS, MD practices at 5040 S 153RD ST, Omaha, NE 68137.
Quick Facts
- NPI
- 1245543842
- Type
- Individual
- Enumerated
- Jul 23, 2010
- Last Updated
- Jun 29, 2016
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