Alexander Bannout, DDS

General Practice Dentistry · Pooler, GA

Individual Active NPI

NPI number 1255419446

Practice location

130 Canal St
Suite 204
Pooler, GA 31322-4085
Phone
(912) 748-5868
Fax
(912) 748-6778

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NPI record

NPI
1255419446
Entity type
Individual (Type 1)
Enumeration date
November 2, 2006
Last updated
September 24, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN013382 GA
General Practice Dentistry 1223G0001X 2901019341 MI

About Dr. Bannout

Alexander Bannout, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 130 Canal St, Suite 204, Pooler, GA 31322-4085. The NPI number 1255419446 was assigned on November 2, 2006 and the record was last updated on September 24, 2010.

Dr. Bannout lists 2 licenses in the registry: #DN013382 (GA) for General Practice Dentistry; #2901019341 (MI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Alexander Bannout, DDS?

The NPI number is 1255419446.

What is the phone number of Dr. Bannout?

The phone number listed for the practice location is (912) 748-5868.

Where is Dr. Bannout located?

130 Canal St, Suite 204, Pooler, GA 31322-4085.

What is the taxonomy code for Dr. Bannout?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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