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Search › Tennessee › 343900000X

Ticco Pruitt

NPI 1982973947 · on the registry since 2011 · sole proprietor

Practice

Address
3030 Covington Pike
Suite 180
Memphis, TN 38128
Phone
(901) 870-2670
Organisation at this address
Jaamac Dental
Kem'S House Inc.
Communityconnect
Medicos General Pllc
Dove Family Dentistry
Inferred from a shared address, not stated in the registry.
Clinicians at this address
27

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-12-21

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 Tennessee