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Chase Pruitt, DDS, MD

NPI 1245543842 · on the registry since 2010 · sole proprietor

Practice

Address
5040 S 153rd St
Omaha, NE 68137
Phone
(402) 881-7996
Clinicians at this address
2

Registry record

Primary taxonomy
1223S0112X
1223S0112X
Also registered as
204E00000X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-06-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska