Ivy Pruitt DMD PLLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

IVY PRUITT DMD PLLC

Practice address

303 Main St
Suite 1a, First Floor
Worcester, MA 01608

Phone

(617) 850-5032

NPI assigned

Apr 15, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Ivy Elizabeth Pruitt, DMDNPI 1548673213

Title

Practice Owner, Endodontist

Phone

(617) 850-5032

Specialties & licenses 1

Addresses

Other names 1

• Main Street Endodontics 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.

• Ivy Elizabeth Pruitt, DMD

  • Endodontics
  • Worcester, MA
  • NPI 1548673213
  NPD Authorized official

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1861246993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 WILLIAM ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01609",
            "telephone_number": "617-850-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 MAIN ST",
            "address_2": "SUITE 1A, FIRST FLOOR",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01608",
            "telephone_number": "617-850-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY PRUITT DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "IVY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRACTICE OWNER, ENDODONTIST",
        "authorized_official_telephone_number": "617-850-5032",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Street Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margaret Ann Israelian, LICSW
• Mayuko Ito Fukunaga, M.D.
• Christopher John Ito, M.D.
• Kouta Ito, M.D., M.S.
• Renata Rose Ivanov
• John J. Iwuc, M.D.
• Immaculata Nkiruka Iwueke, NP
• Suhasini R Iyer, M.D.
• Izuchukwu Okpara MD Ma, PLLC
• Anthony Izzo, D.O.

• Endodontics in Worcester, MA
• Providers in Worcester, MA by specialty
• Endodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.