Active NPI
Ralph Lynn Pruette, DDS
- Dentist
- Anderson, SC
National Provider Identifier
1659355386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2884
- Practice address
- 202 N McDuffie St
Anderson, SC 29621-5623 - Phone
- (864) 225-7231
- Fax
- (864) 225-8999
- NPI assigned
- Dec 6, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2884 | SC | Primary |
Addresses
Primary practice location
202 N McDuffie St
Anderson, SC 29621-5623
Mailing address
120 Carter Woods Dr
Anderson, SC 29621-1992
Phone (864) 222-1970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150708001439 | SC | Order and Referring Only - Dentist | 8224340039 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Downtown Dental Asso PA | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Anderson, SC
- NPI 1073597712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1659355386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 CARTER WOODS DR",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296211992",
"telephone_number": "864-222-1970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 N MCDUFFIE ST",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296215623",
"telephone_number": "864-225-7231",
"fax_number": "864-225-8999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUETTE",
"first_name": "RALPH",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "2884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anderson, SC
- Progrin Dental of Westside, LLC (ProGrin Dental of Westside)
- Propp Drugs, Inc.
- Propp Drugs,Inc.
- William McCallum Propp, PHARMD
- Prosthetic Care of Anderson LLC (Hanger Clinic)
- Kimberly Brooke Pruitt, PHARMD
- Pruitthealth Hospice, Inc. (PruittHealth Hospice - Anderson)
- Publix Super Markets Inc (Publix Pharmacy #0563)
- Publix Super Markets Inc (Publix Pharmacy #0360)
- Chelsea Puckett, ATC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.