Pruitt, Chase A

Pruitt, Chase A is an sole proprietor health care provider with primary practice located at 5040 S 153Rd St , Omaha NE 68137-5067. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Pruitt, Chase A can be contacted via phone (402) 881-7996.

Contact Information

Primary practice address
5040 S 153Rd St Omaha NE 68137-5067
Phone: (402) 881-7996
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 7127 Nebraska
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 28850 Nebraska

Profile Details

NPI number 1245543842
LBN Legal business name Pruitt, Chase A
Credentials DDS, MD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2010
Last updated Jun 29th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers