Alexander Bannout DDS, PC

General Practice Dentistry · Pooler, GA

Organization Active NPI

NPI number 1982917522

Practice location

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

Open in Google Maps

NPI record

NPI
1982917522
Entity type
Organization (Type 2)
Enumeration date
July 25, 2010
Last updated
July 25, 2010
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN013382 GA

Authorized official

Name
Dr. Alexander Bannout, DDS
Title
Dentist
Phone
(248) 890-7347

Other names

  • Parkway Center for Cosmetic Dentistry

About Alexander Bannout DDS, PC

Alexander Bannout DDS, PC is a healthcare organization 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 1982917522 was assigned on July 25, 2010 and the record was last updated on July 25, 2010.

Alexander Bannout DDS, PC lists a license in the registry: #DN013382 (GA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Alexander Bannout, DDS, Dentist.

Frequently asked questions

What is the NPI number of Alexander Bannout DDS, PC?

The NPI number is 1982917522.

What is the phone number of Alexander Bannout DDS, PC?

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

Where is Alexander Bannout DDS, PC located?

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

What is the taxonomy code for Alexander Bannout DDS, PC?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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 General Practice Dentistry providers in Pooler

All General Practice Dentistry providers in Pooler, GA →