DR. JACKIE BANAHAN, D.M.D.
Dentist - Pediatric Dentistry
Active
Individual
NPI: 1093866154
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Pediatric Dentistry | 1223P0221X | Yes | 4977 (KY) |
Frequently Asked Questions
NPI 1093866154 is the National Provider Identifier for DR. JACKIE BANAHAN, D.M.D., a Dentist - Pediatric Dentistry provider located in Lexington, KY. This NPI was enumerated on January 16, 2007.
DR. JACKIE BANAHAN, D.M.D. practices at 3141 BEAUMONT CENTRE CIR, SUITE 100, Lexington, KY 40513.
Quick Facts
- NPI
- 1093866154
- Type
- Individual
- Enumerated
- Jan 16, 2007
- Last Updated
- Jul 8, 2007
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