IndividualActive
Benjamin Pridemore, DDS
NPI 1336153592 · Orthodontics and Dentofacial Orthopedics Dentistry · Rome, GA
Provider details
- NPI number
- 1336153592
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- DN007095 (GA)
Specialties & taxonomies
Dental Providers
Practice location
23 John Maddox Dr Nw
Rome, GA 30165-1413
Phone: (706) 234-0877
Fax: (706) 232-5327
Approximate (ZIP-level) locationGet directions
Mailing address
23 John Maddox Dr Nw
Rome, GA 30165-1413
Registry dates
- Enumerated
- 2006-07-27
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.