Dr. Chase A Pruitt
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
5040 S 153rd St
Omaha
, Nebraska 68137-5067
Dr. Chase A Pruitt
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
5040 S 153rd St
Omaha
, Nebraska 68137-5067
(402) 881-7996
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Chase A Pruitt
- 5040 S 153rd St
- Omaha, NE
- Zip : 68137-5067
- Phone : (402) 881-7996
Second Address
- Dr. Chase A Pruitt
- 5040 S 153rd St
- Omaha, NE
- Zip : 68137-5067
- Phone : (402) 881-7996
Reviews
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Is Dr. Chase A Pruitt a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 7127 | NE |
| N | 204E00000X | Oral & Maxillofacial Surgeon | 28850 | NE |
National Provider Identifier
| NPI | 1245543842 |
|---|---|
| Provider Name | Dr. Chase A Pruitt |
| First Address | Omaha, NE 68137-5067 |
| Second Address | Omaha, NE 68137-5067 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/07/2010 |
| Last Update Date | 29/06/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 850000159 | (02) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.