Pruitt, Nicole Bate

Pruitt, Nicole Bate is an individual health care provider with primary practice located at 102 S Venture Dr , Greenville SC 29615-3571. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Pruitt, Nicole Bate can be contacted via phone (864) 234-9800.

Contact Information

Primary practice address
102 S Venture Dr Greenville SC 29615-3571
Phone: (864) 234-9800
Fax: (864) 234-9820
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 23526 Texas
Dental Providers / Pediatric Dentistry 1223P0221X 11314 South Carolina
Dental Providers / Pediatric Dentistry 1223P0221X 7406 Kentucky

Profile Details

NPI number 1104897206
LBN Legal business name Pruitt, Nicole Bate
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2006
Last updated Apr 22nd, 2026 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104897206 NPPES
Texas MEDICAID 186505701

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