Jerome A Bannister Dds Inc in San Diego - General Practice

Jerome A Bannister Dds Inc - NPI 1154310472

Jerome A Bannister Dds Inc is a General Practice in San Diego, California. Jerome A Bannister Dds Inc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jerome A Bannister Dds Inc is 1154310472. The last update date is 2020-08-22.

Jerome A Bannister Dds Inc's current location address is 4370 Palm Ave, San Diego, California. You can contact this provider via phone number 6194288682 and fax number 6194281043. The mailing address for Jerome A Bannister Dds Inc is 4370 Palm Ave, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jerome A Bannister Dds Inc
Address 4370 Palm Ave, San Diego, California
Phone Number 6194288682
Fax Number 6194281043
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Chavez Lizbeth
Telephone Number 6194288682

NPI Number Detail

NPI Number 1154310472
Provider Enumeration Date 2005-10-19
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 4370 Palm Ave
City San Diego
State California (CA)
Post Code 921541760
Phone Number 6194288682
Fax Number 6194281043

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 38253
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
B38253 01 CA MEDI CAL

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FAQs about Jerome A Bannister Dds Inc

What is the unique 10-digit identification code assigned to Jerome A Bannister Dds Inc by the Centers for Medicare & Medicaid Services?

The Jerome A Bannister Dds Inc has been issued the NPI (National Provider Identifier) 1154310472, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Jerome A Bannister Dds Inc is located?

The Jerome A Bannister Dds Inc is situated at the following address: 4370 Palm Ave, San Diego, CA, 921541760.

What is Jerome A Bannister Dds Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jerome A Bannister Dds Inc is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

On what date did the Jerome A Bannister Dds Inc receive its 1154310472 assignment from the Centers for Medicare & Medicaid Services?

The Jerome A Bannister Dds Inc was assigned its 1154310472 by the Centers for Medicare & Medicaid Services on 2005-10-19.

As of what date was the information pertaining to Jerome A Bannister Dds Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jerome A Bannister Dds Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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