Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0004X | Dentist Anesthesiologist | 12165 | NC |
N | 1223D0004X | Dentist Anesthesiologist | DEN.00204323 | CO |
NPI | 1184154387 |
---|---|
Provider Name | Benjamin Pritts |
First Address | Chapel Hill, NC 27514-1363 |
Second Address | Greensboro, NC 27406-5153 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2017 |
Last Update Date | 26/03/2021 |