Kenneth Richard Banas in West Seneca - Pediatric Dentistry
Kenneth Richard Banas - NPI 1396788246
Kenneth Richard Banas is a Pediatric Dentistry in West Seneca, New York. Kenneth Richard Banas practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Kenneth Richard Banas is 1396788246. The last update date is 2007-07-08.
Kenneth Richard Banas's current location address is 3615 Seneca St, West Seneca, New York. You can contact this provider via phone number 7166740924 and fax number 7166754774. The mailing address for Kenneth Richard Banas is 3615 Seneca St, West Seneca, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Richard Banas |
|---|---|
| Address | 3615 Seneca St, West Seneca, New York |
| Phone Number | 7166740924 |
| Fax Number | 7166754774 |
| Sole Proprietor | X |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1396788246 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3615 Seneca St |
|---|---|
| City | West Seneca |
| State | New York (NY) |
| Post Code | 142243444 |
| Phone Number | 7166740924 |
| Fax Number | 7166754774 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 038341-1 |
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Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 834684 | NY | -- |
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What is the unique 10-digit identification code issued to Kenneth Richard Banas by the Centers for Medicare & Medicaid Services?
The Kenneth Richard Banas has been assigned the NPI (National Provider Identifier) 1396788246 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Kenneth Richard Banas located?
The Kenneth Richard Banas is located at 3615 Seneca St, West Seneca, NY 142243444.
What is Kenneth Richard Banas'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 Kenneth Richard Banas is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.
On what date did the Kenneth Richard Banas receive the assignment of its 1396788246 from the Centers for Medicare & Medicaid Services?
The Kenneth Richard Banas was issued its 1396788246 by the Centers for Medicare & Medicaid Services on 2006-06-14.
When was the Kenneth Richard Banas's information last updated?
The Kenneth Richard Banas's information was last updated on 2007-07-08.