Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. John W Pruitt, DDS, MD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1821045147

Dr. John W Pruitt, DDS, MD is a Maxillofacial Surgery in Greenwood, Indiana. Graduated from Ohio State University College of Dentistry in 1989, 37 years ago. Practices with Indiana Oral and Maxillofacial Surgery Associates PC, an 11-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
37
Trained at
Ohio State University College of Dentistry
Licensed in
IN
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1630 W Smith Valley Rd
Greenwood, IN 46142-1550
Phone: (317) 882-3370
Fax: (317) 882-2964
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 12009797A (IN)

Record details

NPI number1821045147
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MD
Sole proprietorNo
NPI enumeratedMay 30, 2006
Last updated in NPPESAugust 31, 2012
Mailing address10972 Allisonville Rd, Suite 110, Fishers, IN 46038-2637

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF DENTISTRY
Graduated 1989 (37 years in practice)
Group practice Indiana Oral And Maxillofacial Surgery Associates Pc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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