Individual provider · Type 1 NPI

Nicole Bate Pruitt, DMD

Pediatric Dentistry · Greenville, SC

NPI number 1104897206 Active

Practice location

102 S Venture Dr
Greenville, SC 29615-3571

Fax (864) 234-9820

Other practice locations

  • 3435 S Alameda St Ste A, Corpus Christi, TX 78411-1797 · (361) 992-9500

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221X23526 (TX)
Pediatric Dentistry Primary 1223P0221X11314 (SC)
Pediatric Dentistry 1223P0221X7406 (KY)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

2 other providers at this address

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About NPI 1104897206

Nicole Bate Pruitt, DMD's National Provider Identifier is 1104897206, issued on Jan 28, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Greenville, SC. The record was last updated on Apr 22, 2026.