Kevin D. Banner is a Dentist in Burley, Idaho. Kevin D. Banner practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kevin D. Banner is 1871763649. The last update date is 2008-03-07.
Kevin D. Banner's current location address is 1010 E Main St, Burley, Idaho. You can contact this provider via phone number 2086785597 and fax number 2086785663. The mailing address for Kevin D. Banner is 1010 E Main St, Burley, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kevin D. Banner |
|---|---|
| Address | 1010 E Main St, Burley, Idaho |
| Phone Number | 2086785597 |
| Fax Number | 2086785663 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Roberts S Echo |
| Telephone Number | 2086785597 |
NPI Number Detail
| NPI Number | 1871763649 |
|---|---|
| Provider Enumeration Date | 2008-03-07 |
| Last Updated Date | 2008-03-07 |
Provider Mailing Address Detail
| Address | 1010 E Main St |
|---|---|
| City | Burley |
| State | Idaho (ID) |
| Post Code | 833182045 |
| Phone Number | 2086785597 |
| Fax Number | 2086785663 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D1892 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the Kevin D. Banner's unique identification number?
The Kevin D. Banner has been assigned the NPI (National Provider Identifier) Number 1871763649 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Kevin D. Banner is geographically located?
The Kevin D. Banner is physically situated at the following location: 1010 E Main St, Burley, ID, 833182045.
What is Kevin D. Banner's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kevin D. Banner's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Kevin D. Banner receive its 1871763649 assignment from the Centers for Medicare & Medicaid Services?
The Kevin D. Banner was assigned its 1871763649 by the Centers for Medicare & Medicaid Services on 2008-03-07.
When was the information regarding Kevin D. Banner most recently updated?
The details pertaining to the Kevin D. Banner, including its address, specialty, and other relevant information, were last refreshed on 2008-03-07.
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