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ALEXANDER BANNOUT DDS PC NPI 1982917522


NPI Information

NPI: 1982917522
Provider Name: ALEXANDER BANNOUT DDS, PC

Doing Business As: PARKWAY CENTER FOR COSMETIC DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
130 CANAL ST
SUITE 204
POOLER, GA
ZIP 31322
Phone: (912) 748-5868
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ALEXANDER BANNOUT DDS, PC is a general practice dentist in Pooler, GA. The provider is 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. ALEXANDER BANNOUT DDS, PC NPI is 1982917522. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Parkway Center For Cosmetic Dentistry.

The provider's business location address is:

130 CANAL ST
SUITE 204
POOLER, GA
ZIP 31322-085
Phone: (912) 748-5868
Fax: (912) 748-6778

The provider's authorized official is Alexander Bannout .
The authorized official title is Dentist and has the following contact phone number (248) 890-7347.

The enumeration date for this NPI number is 7/25/2010 and was last updated on 7/25/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeDN013382GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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