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NPI Code Detail

MEDICARE: BENJAMIN PRITTS DMD

MEDICARE: BENJAMIN PRITTS DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223D0004XDental AnesthesiologyDEN.00204323CO
21223D0004XDental Anesthesiology12165NC

General Provider Information

NPI Number : 1184154387
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN PRITTS DMD
Provider Business Mailing Address
First Line : PO BOX 1363
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27514-1363
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2643 RANDLEMAN RD
Second Line :
City : GREENSBORO
State : NC
Zip : 27406-5153
Country : US
Telephone Number : 724-953-5511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2017
Last Update Date : 03/26/2021

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