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Bonita Pruitt, DDS
NPI 1770562415 · Pediatric Dentistry · Fort Drum, NY
Bonita Pruitt, DDS is a Pediatric Dentistry provider in Fort Drum, NY (NPI 1770562415).
Provider details
- NPI number
- 1770562415
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 14977 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
US Army Dental Activity Attn Credentials Coordinator
10205 North Riva Ridge Loop
Fort Drum, NY 13603-5005
Phone: (315) 772-4342
Fax: (315) 772-9692
Approximate (ZIP-level) locationGet directions
Mailing address
US Army Dental Activity Attn Credentials Coordinator
Fort Drum, NY 13603-5005
Registry dates
- Enumerated
- 2006-01-11
- Last updated
- 2007-07-08
Frequently asked questions
- What is Bonita Pruitt's NPI number?
- Bonita Pruitt's National Provider Identifier (NPI) is 1770562415, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bonita Pruitt's specialty?
- Bonita Pruitt is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Bonita Pruitt located?
- Bonita Pruitt's practice location on file with NPPES is US Army Dental Activity Attn Credentials Coordinator, Fort Drum, NY 13603-5005.
- What is Bonita Pruitt's phone number?
- The practice phone number listed in the NPPES registry for Bonita Pruitt is (315) 772-4342.
- Is Bonita Pruitt's NPI active?
- Yes — Bonita Pruitt's NPI (1770562415) is active in the NPPES registry as of the last update on 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.