Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACKIE L BANAHAN, D.M.D.
Active Sole ProprietorDR. JACKIE L BANAHAN, D.M.D. is a Pediatric Dentistry healthcare provider located in LEXINGTON, Kentucky. NPI 1093866154 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · LEXINGTON, KY
Registration Details
- NPI Number
- 1093866154
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 16, 2007 (19.594522221568 yrs)
- Last Updated
- Jul 8, 2007
- License
-
4977 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3141 BEAUMONT CENTRE CIRSUITE 100LEXINGTON, KY, 405131934Browse KY providers · Browse ZIP 40513
- Phone
- 8592234888
- Fax
- 8592964688
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in LEXINGTON, KY
| Name | Credential | NPI |
|---|---|---|
| DR. JULIETTE KELLER | D.M.D. | 1922085034 |
| MS. CHARLOTTE A HANEY | D.M.D. | 1356302046 |
| DR. ENRIQUE BIMSTEIN | D.D.S. | 1932164803 |
| ERWIN G TURNER | DMD | 1063430312 |
| DR. POLLY BLAKE BUCKEY BOEHNLEIN | DDS | 1730296146 |
| DR. RODNEY ALLEN JACKSON | DMD | 1205931599 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.