ALEXANDER BANNOUT, DDS

Dentist - General Practice

Active Individual
NPI: 1255419446

Practice Address

130 CANAL ST
SUITE 204
Pooler, GA 31322

Phone: (912) 748-5868

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X No 2901019341 (MI)

Frequently Asked Questions

NPI 1255419446 is the National Provider Identifier for ALEXANDER BANNOUT, DDS, a Dentist - General Practice provider located in Pooler, GA. This NPI was enumerated on November 2, 2006.
ALEXANDER BANNOUT, DDS practices at 130 CANAL ST, SUITE 204, Pooler, GA 31322.

Quick Facts

NPI
1255419446
Type
Individual
Enumerated
Nov 2, 2006
Last Updated
Sep 24, 2010

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