DR. NICOLE BATE PRUITT DMD
NPI 1104897206
Dentist - Pediatric Dentistry in Greenville, SC
NPI Status: Active since January 28, 2006
Contact Information
102 S VENTURE DR
GREENVILLE, SC
ZIP 29615
Phone: (864) 234-9800
Fax: (864) 234-9820
- Individual
- Female
- Dentist
- Pediatric Dentistry
- Accepts Insurance
About NICOLE PRUITT
This page provides the complete NPI Profile along with additional information for Nicole Pruitt, a provider established in Greenville, South Carolina with a medical specialization in Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1104897206 assigned on January 2006. The practitioner's primary taxonomy code is 1223P0221X with license number 11314 (SC). The provider is registered as an individual and her NPI record was last updated April 2026.
- NPI
- 1104897206
- Provider Name
- DR. NICOLE BATE PRUITT DMD
- Other Name
- DR. NICOLE LEANNE BATE DMD
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 102 S VENTURE DR GREENVILLE, SC 29615
- Location Phone
- (864) 234-9800
- Location Fax
- (864) 234-9820
- Mailing Address
- 102 S VENTURE DR GREENVILLE, SC 29615
- Mailing Phone
- (864) 234-9800
- Mailing Fax
- (864) 234-9820
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-28-2006
- Last Update Date
- 04-22-2026
- Code Navigator
A dentist like Nicole Pruitt is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Secondary Locations
- 3435 S Alameda St Ste A
Corpus Christi, TX 78411
(361) 992-9500
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Pediatric Dentistry
- Taxonomy Code
- 1223P0221X
- Type
- Dental Providers
- License No.
- 11314
- License State
- SC
- Taxonomy Description
- An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1223P0221X | Dental Providers | Dentist | 23526 (TX) |
| 2 | 1223P0221X | Dental Providers | Dentist | 7406 (KY) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- Delta Dental Individual and Family DPO Basic Plan for Families - PPO
- Delta Dental Individual and Family DPO Preferred Plan for Families - PPO
- Delta Dental Individual and Family DPO Preventive Plan for Families - PPO
- BlueDental Copayment Q - PPO
- BlueDental Copayment QF - PPO
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - Basic - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
- Alabama Preferred Plan - PPO
- Alabama Preferred Plan (Pediatric Only) - PPO
- Alabama Preferred Plus Plan - PPO
- Alabama Preferred Plus Plan (Pediatric Only) - PPO
- Alabama Wellness Essentials Plan - PPO
- Florida Preferred Plan - PPO
- Florida Preferred Plan (Pediatric Only) - PPO
- Florida Preferred Plus Plan - PPO
- Florida Preferred Plus Plan (Pediatric Only) - PPO
- Florida Wellness Essentials Plan - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 186505701 | MEDICAID (05) | TX |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104897206, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
GREENVILLE, SC 29615
GREENVILLE, SC 29615
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104897206, enumerated as an "individual" on January 28, 2006.
The provider is located at 102 S VENTURE DR GREENVILLE, SC 29615 and the phone number is (864) 234-9800.
Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.
