Henry F. Pruett, Jr., D.D.S., P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HENRY F. PRUETT, JR., D.D.S., P.A.

Practice address

466 E Nine Mile Rd
Pensacola, FL 32514-1441

Phone

(850) 476-2552

Fax

(850) 479-9861

NPI assigned

Jul 9, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Henry Floyd Pruett Jr., D.D.S.NPI 1306988282

Title

President

Phone

(850) 476-2552

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Henry Floyd Pruett Jr., D.D.S.

  • General Practice Dentistry
  • Pensacola, FL
  • NPI 1306988282
  NPD (past) Authorized official
• Kaitlin Elizabeth Blackburn, DDS

  • General Practice Dentistry
  • Pensacola, FL
  • NPI 1891175352
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1285017186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 E NINE MILE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325141441",
            "telephone_number": "850-476-2552",
            "fax_number": "850-479-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 E NINE MILE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325141441",
            "telephone_number": "850-476-2552",
            "fax_number": "850-479-9861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY F. PRUETT, JR., D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "PRUETT",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "FLOYD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-476-2552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William B Henghold II, MD
• Carmella Henley
• Nicole Henn, LBA, BCBA
• Cheri N Hennessey, RPH
• Henry Chiropractic PLLC
• Allyson Lee Henry, ARNP
• Dan B. Henry, DDS
• Frederick Conrad Henry, M.D.
• Holly J Henry, APRN
• Jason Lemarr Henry, M.D.

• General Practice Dentistry in Pensacola, FL
• Providers in Pensacola, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.