DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALEXANDER DMITRY BANKETOV, DDS

Active

ALEXANDER DMITRY BANKETOV, DDS is a Dentist healthcare provider located in OMAHA, Nebraska. NPI 1124857164 is currently active in the NPPES registry. Verify at CMS.

Dentist · OMAHA, NE

Registration Details

NPI Number
1124857164
Provider Type
Individual
Gender
Male
NPI Issued
Jul 29, 2024 (1.8692674831514 yrs)
Last Updated
Jan 15, 2025
Licenses
13921 (NC)
8056 (NE)

Practice Information

Address
4920 S 30TH ST STE 103
OMAHA, NE, 681071656
Browse NE providers · Browse ZIP 68107
Phone
4027344110
Fax
4027343990
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Providers in OMAHA, NE

Name Credential NPI
DR. HIBA A KELLOW DDS 1053312363
DR. AMY TANEL CHADWELL D.D.S. 1710972542
DR. CHRISTOPHER A STANOSHECK DDS 1649268111
DR. ROSS LOUIS BELLINGHIERE D.D.S. 1619966074
DR. MATTHEW JOSEPH SEVERIN III DDS 1083603286
STEVEN DOUGLAS MILLER DDS 1235128265
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.