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

DR. DARRELL KELLUS PRUITT, DDS

Active Sole Proprietor

DR. DARRELL KELLUS PRUITT, DDS is a General Dentistry healthcare provider located in FORT WORTH, Texas. NPI 1689911349 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · FORT WORTH, TX

Registration Details

NPI Number: 1689911349
Provider Type: Individual
Gender: Male
NPI Issued: Jan 14, 2013 (13.396564177218 yrs)
Last Updated: Jan 14, 2013
License: 13388 (TX)
Sole Proprietor: Yes

Practice Information

Address: 6737 BRENTWOOD STAIR RD

#220

FORT WORTH, TX, 761123348
Browse TX providers · Browse ZIP 76112
Phone: 8174512323
Fax: 8174511336
Primary Specialty: General Dentistry
1223G0001X

Other General Dentistry Providers in FORT WORTH, TX

Name	Credential	NPI
DR. OTICE Z HELMER	D.D.S.	1588667927
DR. MICHAEL JOSEPH GOULDING	D.D.S.	1609870955
DR. THOMAS L PHILLIPS	D.D.S.	1740284124
BRADLEY A. MCCONNELL	D.D.S.	1659376325
DR. JOHN WILSON GARNETT III	DDS	1992700777
DR. JOSEPH S. MCCREARY	DDS	1255337374

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.