Michael James Bannan DDS

NPI 1487842589 - Dentist - 122300000X

NPI Details
NPI 1487842589
Gender Male
Enumeration Date 10/15/2007
Last Updated 04/21/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
803 S WALKER ST
BURGAW NC, 28425-5001, US
Phone (910) 259-1503
Fax
Business Location
8213 PILOTS VIEW DR
RALEIGH NC, 27617-8713, US
Phone (989) 413-0300
Fax
Toxanomy
Taxonomy Code 122300000X
License State North Carolina
License Number 8897
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According to our database, Dr. Michael James Bannan DDS NPI is 1487842589, taxonomy code is 122300000X and license number is 8897, license state is located at North Carolina. Michael James Bannan DDS physically located at 803 S Walker St, Burgaw NC, 28425-5001. NPI Number Michael James Bannan DDS has the Individual type.

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1487842589 NPI number is provided on an as is basis without warranty of any kind. 1487842589 is maintained by the National Plan & Provider Enumeration System. The contents of Michael James Bannan DDS are for informational purposes only.