Jon Davis Pruett, MD

Dermatologist in Dallas, Texas · NPI 1023071933

Jon Pruett is one of 111 dermatologists practicing in Dallas, Texas. Jon Pruett practices with Revival Dermatology PLLC.

Registry record (NPPES)

NPI
1023071933
Type
Type 1 · Individual
Primary taxonomy
Dermatology · 207N00000X
Address on file
8201 Preston Rd Ste 440
Dallas, TX 75225-6209
(214) 675-3227
Enumerated
Apr 11, 2006
Record last updated
Feb 17, 2022
License states listed
LA

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Dermatology
Revalidation due
No date set by CMS

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Practice locations

More dermatologists in Dallas

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.