Dr. Bonita Lynn Pruitt
DDS | Pediatric Dentist
Us Army Dental Activity Attn Credentials Coordinator, 10205 North Riva Ridge Loop, Fort Drum
New York, 13603-5005
315-772-4342 315-772-9692
Maps & DirectionsDr. Bonita Lynn Pruitt is a Fort Drum, New York based Pediatric Dentist who is specialized in
Pediatric Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Bonita Lynn Pruitt is
14977 for Pediatric Dentistry in Texas. Her current practice location is
Us Army Dental Activity Attn Credentials Coordinator, 10205 North Riva Ridge Loop, Fort Drum. Patients can reach her at
315-772-4342.
Dr. Bonita Lynn Pruitt provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Bonita Lynn Pruitt speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Bonita Lynn Pruitt |
| Specialization: | Pediatric Dentist |
| Gender: | Female |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | Us Army Dental Activity Attn Credentials Coordinator, 10205 North Riva Ridge Loop, Fort Drum,
New York, 13603-5005 |
| Phone: | 315-772-4342 |
| Fax: | 315-772-9692 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1770562415 |
| NPI Enumeration Date: | 11 Jan, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Bonita Lynn Pruitt are as mentioned below.
| License Number | Specialization | State | Status | |
| 14977 | Pediatric Dentistry | Texas | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Us Army Dental Activity Attn Credentials Coordinator, 10205 North Riva Ridge Loop
Fort Drum, New York |
| Zip: | 13603-5005 |
| Phone Number: | 315-772-4342 |
| Fax Number: | 315-772-9692 |
Patients can reach Dr. Bonita Lynn Pruitt at
Us Army Dental Activity Attn Credentials Coordinator, 10205 North Riva Ridge Loop, Fort Drum, New York or can
call to book an appointment on 315-772-4342.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.