Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669427837 Individual Practitioner Male Practitioner

Dr. Michael Edward Pruett , DMD

Dentist - General Practice • Augusta, GA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Pruett, DMD is a registered healthcare professional specializing in Dentist - General Practice in Augusta, GA. Practice services are available at 1430 JOHN WESLEY GILBERT DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1430 John Wesley Gilbert Drive

Augusta, GA 309120001

Telephone 7067214025
Fax 7067230266
Associated Practice Facility / Clinic
🏢 Au Dental Associates Facility NPI 1457541781

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
124 Specialists

Practicing in Augusta, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-04-13
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN011110

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License GA DNCS000131

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
ZG1110 (SC)
Medicaid State Provider ID
00812523C (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners
NPI 1033404819

Doctor of Dental Surgery

Dr. Joshua White , DMD

Student in an Organized Health Care Education/Training Program

NPI 1073906780

Doctor of Dental Medicine

Dr. Michael Myers , DMD

Dentist - Prosthodontics

NPI 1104866466

Doctor of Dental Medicine

Dr. Carole Hanes , DMD

Dentist - Pediatric Dentistry

NPI 1114974573

Doctor of Dental Medicine

Ulf Wikesjo

Dentist - Periodontics

NPI 1134280829
Dr. Scott Derossi , DMD

Oral & Maxillofacial Surgery

NPI 1184667370

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location October 25, 2021

Registered at 1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 309120001 (Tel: 7067214025)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2021

Dentist (License #DNCS000131 in GA)

📍
Updated Practice Location March 03, 2021

Registered at 1430 JOHN WESLEY GILBERT DRIVE GC-1012, AUGUSTA, GA 309120001 (Tel: 7067214025)

📍
Updated Business Mailing Address March 03, 2021

Registered at 1430 JOHN WESLEY GILBERT DRIVE GC-1012, AUGUSTA, GA 309120001 (Tel: 7067217913)

NPI Profile Active January 12, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location January 12, 2012

Registered at 1430 JOHN WESLEY GILBERT DRIVE, GC-1024, AUGUSTA, GA 309121001 (Tel: 7067219633)

📍
Updated Business Mailing Address January 12, 2012

Registered at 1120 15TH ST, GC-1024, AUGUSTA, GA 309120004 (Tel: 7067219633)

👤
Provider Name / Credentials Updated January 12, 2012

Recorded as MICHAEL PRUETT, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2012

Dentist (License #DN011110 in GA)

🟢
Initial NPI Registration & Enumeration May 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669427837
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2006
Last Update: April 13, 2023
Sole Proprietor: No

Mailing Address

1430 John Wesley Gilbert Drive Gc-1012

Augusta, GA 309120001

Phone: 7067217913

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.