Minsub Ban, DDS

Dentist · Athol, MA

Individual Active NPI

NPI number 1912740598

Practice location

546 Main St
Athol, MA 01331-1821
Phone
(978) 830-4610

Open in Google Maps

NPI record

NPI
1912740598
Entity type
Individual (Type 1)
Enumeration date
June 13, 2024
Last updated
November 2, 2024
Certified
November 2, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DN10000417 MA

Mailing address

4042 Guinea Rd
Fairfax, VA 22032-1413

About Dr. Ban

Minsub Ban, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 546 Main St, Athol, MA 01331-1821. The NPI number 1912740598 was assigned on June 13, 2024 and the record was last updated on November 2, 2024.

Dr. Ban lists a license in the registry: #DN10000417 (MA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Minsub Ban, DDS?

The NPI number is 1912740598.

What is the phone number of Dr. Ban?

The phone number listed for the practice location is (978) 830-4610.

Where is Dr. Ban located?

546 Main St, Athol, MA 01331-1821.

What is the taxonomy code for Dr. Ban?

The primary taxonomy code is 122300000X – Dentist.

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.

Other Dentist providers in Athol

All Dentist providers in Athol, MA →