Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHARON R. BANNISTER, DDS,MS
ActiveDR. SHARON R. BANNISTER, DDS,MS is a Periodontology healthcare provider located in LACKLAND AFB, Texas. NPI 1568440642 is currently active in the NPPES registry. Verify at CMS.
Periodontology · LACKLAND AFB, TX
Registration Details
- NPI Number
- 1568440642
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 9, 2006 (20.558019796555 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
30019865 (OH)11718 (MD)
Practice Information
- Address
-
2200 BERQUIST DRIVE, SUITE 1ATTN: CREDENTIALS (CMC)LACKLAND AFB, TX, 782365300Browse TX providers · Browse ZIP 78236
- Phone
- 2102927269
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Other Periodontology Providers in LACKLAND AFB, TX
| Name | Credential | NPI |
|---|---|---|
| DEMITRI VILLARREAL | D.D.S.; M.S. | 1588865943 |
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.