Ivy Pruitt Dmd Pllc

LBN: Ivy Pruitt Dmd Pllc
Ivy Pruitt Dmd Pllc is an health care organization with primary practice located at 303 Main St Suite 1A, First Floor, Worcester MA 01608. The organization recently has only one registered license in Dental Providers / Endodontics, which is considered as the primary health care specialty. Ivy Pruitt Dmd Pllc can be contacted via phone (617) 850-5032, or through Pruitt, Ivy Elizabeth via phone (617) 850-5032.

Contact Information

Primary practice address
303 Main St Suite 1A, First Floor Worcester MA 01608
Phone: (617) 850-5032
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pruitt, Ivy Elizabeth Doctor of Dental Medicine (DMD)
Phone: (617) 850-5032

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X

Profile Details

NPI number 1861246993
LBN Legal business name Ivy Pruitt Dmd Pllc
DBA Doing business as
Authorized official Pruitt, Ivy Elizabeth Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 15th, 2024
Last updated Apr 15th, 2024 - about 8 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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