“Pediatric Dentistry” (Fort Drum, NY)
Location: Fort Drum, NY
Taxonomy: Pediatric Dentistry.
A provider can have more than one taxonomy code. It is critical to register all applicable
taxonomy codes with NPPES and to use the correct taxonomy code to represent the
specific specialty when filing claims. This will assist in more accurate and timely
processing of claims.
1770562415
—
DR.
BONITA
LYNN
PRUITT
DDS
Practice Location Address:
US ARMY DENTAL ACTIVITY ATTN CREDENTIALS COORDINATOR
10205 NORTH RIVA RIDGE LOOP
FORT DRUM NY
13603-5005
Practice Phone:
315-772-4342