IVY PRUITT DMD PLLC
NPI 1861246993
Dentist - Endodontics in Worcester, MA

Active since April 15, 2024
303 MAIN ST, SUITE 1A, FIRST FLOOR, WORCESTER, MA 01608(617) 850-5032 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ivy Pruitt Dmd Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVY PRUITT DMD PLLC (NPI 1861246993), doing business as Main Street Endodontics, is a healthcare organization registered as an endodontics in Worcester, Massachusetts and active in the NPI registry since April 2024. The organization lists Ivy Elizabeth Pruitt, Practice Owner, Endodontist, as its authorized official.

NPPES Registry Identity

NPI1861246993
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameIVY PRUITT DMD PLLC
Location Address303 MAIN ST, SUITE 1A, FIRST FLOORWorcester, MA 01608
Mailing Address98 William StWorcester, MA 01609 · (617) 850-5032
Organization SubpartNo
Authorized OfficialIvy Elizabeth PruittPractice Owner, Endodontist · (617) 850-5032
Enumeration DateApril 15, 2024
Last NPPES UpdateOctober 15, 2025
NPPES CertifiedOctober 15, 2025
NPI 1861246993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
303 MAIN ST, Worcester, MA 01608

Other Names 1

Doing Business AsMain Street Endodontics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivy Pruitt Dmd PLLC's NPI number?

The NPI number for Ivy Pruitt Dmd PLLC is 1861246993. It was assigned to this organization in the NPPES registry on April 15, 2024. The provider is doing business as Main Street Endodontics.

Where is Ivy Pruitt Dmd PLLC located?

Ivy Pruitt Dmd PLLC is located at 303 Main St Suite 1A, First Floor, Worcester, MA 01608. The listed phone number is (617) 850-5032.

What is Ivy Pruitt Dmd PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Ivy Pruitt Dmd PLLC was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.