Jeffrey D Pruiett DMD

Primary specialty

DentistTaxonomy code 122300000X

License

6385 Issued in WA

Legal business name

JEFFREY D PRUIETT DMD

Doing business as

Jeffrey D Pruiett

Practice address

719 N 39TH Ave Ste 102
Yakima, WA 98902-6302

Phone

(509) 453-3350

Fax

(509) 453-3360

NPI assigned

Jul 14, 2016

Last updated

Jul 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Donald Pruiett, DMDNPI 1366507683

Title

Owner

Phone

(509) 453-3350

Specialties & licenses 1

Addresses

Other names 1

• Jeffrey D Pruiett Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey D Pruiett, DMD

  • Dentist
  • Yakima, WA
  • NPI 1366507683
  NPD (past) Authorized official

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1588017545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 N 39TH AVE STE 102",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989026302",
            "telephone_number": "509-453-3350",
            "fax_number": "509-453-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 N 39TH AVE STE 102",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989026302",
            "telephone_number": "509-453-3350",
            "fax_number": "509-453-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY D PRUIETT DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "PRUIETT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-453-3350",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "6385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeffrey D Pruiett",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benito Jaramillo, OD
• Jason Berreman, Arnp, PS
• Raven Java-McCandless
• Amanda Marie Jean
• Jeanette M. Stromme O.D. PLLC (Wine Country Vision)
• Jeffreystrammelldds,Christopherptrammelldds,Timothyggutmanndds,Rossdau (Chalet Dental)
• Jenatte Clark Dermatology PLLC (Jenatte Clark Dermatology)
• Debra L Jenkins, M.A., CCC-A
• Mary Jenkins, PA
• Jennifer L Gindt Arnp-C (CuraFamily Wellness Clinic)

• Dentist in Yakima, WA
• Providers in Yakima, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.