Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NEIDRE JANELL BANAKUS, DDS
ActiveDR. NEIDRE JANELL BANAKUS, DDS is a Pediatric Dentistry healthcare provider located in WENDELL, North Carolina. NPI 1205028396 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · WENDELL, NC
Registration Details
- NPI Number
- 1205028396
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 14, 2007 (18.983608102533 yrs)
- Last Updated
- May 8, 2025
- License
-
11291 (NC)
Practice Information
- Address
-
2255 TREELIGHT WAYWENDELL, NC, 27591Browse NC providers · Browse ZIP 27591
- Phone
- 9192000463
- Fax
- 9198003692
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in WENDELL, NC
| Name | Credential | NPI |
|---|---|---|
| DR. SHANNITTA LATREASE BRIDGERS | DDS | 1083872915 |
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.