Healthcare Provider Details

I. General information

NPI: 1003675505
Provider Name (Legal Business Name): BENJAMIN PRITTS DMD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2024
Last Update Date: 03/18/2024
Certification Date: 03/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 MILLSTONE DR # 1
HILLSBOROUGH NC
27278-8777
US

IV. Provider business mailing address

120 STONY HILL RD
CHAPEL HILL NC
27516-8169
US

V. Phone/Fax

Practice location:
  • Phone: 724-953-5511
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0004X
TaxonomyDental Anesthesiology
License Number
License Number State

VIII. Authorized Official

Name: BENJAMIN PRITTS
Title or Position: OWNER
Credential: DMD
Phone: 724-953-5511