Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHANDLER AMY LYNNE PRUITT, DDS
Active Sole ProprietorCHANDLER AMY LYNNE PRUITT, DDS is a Pediatric Dentistry healthcare provider located in KAUFMAN, Texas. NPI 1750028452 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · KAUFMAN, TX
Registration Details
- NPI Number
- 1750028452
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 16, 2022 (4.0634401278038 yrs)
- Last Updated
- Oct 29, 2024
- Licenses
-
39261 (TX)39261 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 KINGS FORT PKWY STE 100KAUFMAN, TX, 751423544Browse TX providers · Browse ZIP 75142
- Phone
- 4694140670
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Pediatric Dentistry
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.