Dr. Bonita Lynn Pruitt, DDS

Individual provider Pediatric Dentistry · NPI 1770562415

Dr. Bonita Lynn Pruitt, DDS practises Pediatric Dentistry in Fort Drum, New York. Licensed in Texas. Registered with an NPI since 2006.

Licensed in: TX
In the registry since: 2006

What do these letters mean?

DDS — Doctor of Dental Surgery: A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Partly verified

Some contact details are missing from the federal record.

US Army Dental Activity Attn Credentials Coordinator 10205 North Riva Ridge Loop
Fort Drum, NY 13603-5005 Not confirmed with CMS for 19 years — call before visiting
Phone: (315) 772-4342
Fax: (315) 772-9692

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary)	Taxonomy 1223P0221X · Licence 14977 (TX)

Record details

NPI number	1770562415
Entity type	Individual (Type 1)
Gender	Female
Credentials	DDS
Sole proprietor	No
NPI enumerated	January 11, 2006
Last updated in NPPES	July 8, 2007