DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CHASE A PRUITT, DDS, MD

Active Sole Proprietor

DR. CHASE A PRUITT, DDS, MD is a Oral & Maxillofacial Surgery healthcare provider located in OMAHA, Nebraska. NPI 1245543842 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · OMAHA, NE

Registration Details

NPI Number
1245543842
Provider Type
Individual
Gender
Male
NPI Issued
Jul 23, 2010 (16.025411770898 yrs)
Last Updated
Jun 29, 2016
Licenses
7127 (NE)
28850 (NE)
Sole Proprietor
Yes

Practice Information

Address
5040 S 153RD ST
OMAHA, NE, 681375067
Browse NE providers · Browse ZIP 68137
Phone
4028817996
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X

Other Oral & Maxillofacial Surgery Providers in OMAHA, NE

Name Credential NPI
DR. JEROME M. WEES D.D.S. 1871591826
DR. MICHAEL P. MCDERMOTT D.D.S. 1215935259
DR. JAMES DAVID RUSKIN M.D., D.M.D. 1457318057
DR. RICHARD J. GLOW D.D.S. 1114979713
NICHOLAS TSELIOS DDS 1679517494
RICHARD M TEMPERO MD DDS 1801990262
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.