Chandler Amy Lynne Pruitt, DDS

NPI #1750028452 in Kaufman, Texas

Provider Information

NPI Number: 1750028452
Entity Type: Individual
Name: Chandler Amy Lynne Pruitt, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Pediatric Dentistry
Credential: DDS
Enumeration Date: May 16, 2022
Last Updated: Oct 29, 2024

Practice Location

Address: 100 KINGS FORT PKWY STE 100
City: Kaufman
State: Texas
ZIP Code: 75142-3544
Phone: (469) 414-0670

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Student in an Organized Health Care Education/Training Program	390200000X
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X	Primary

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