institution
Jerome A Bannister Dds Inc
General Practice Dentistry in San Diego, California
NPI 1154310472

Jerome A Bannister Dds Inc is a General Practice Dentistry based in San Diego, CA and is specialized in General Practice. Jerome A Bannister Dds Inc practices in San Diego, CA. The NPI Number for Jerome A Bannister Dds Inc is 1154310472 and holds a License No. 38253 (California).

The current practice location address for Jerome A Bannister Dds Inc is 4370 Palm Ave, San Diego, CA and can be reached out via phone at 619-428-8682 and via fax at 619-428-1043.

Location: 4370 Palm Ave, San Diego, CA, 92154-1760
institution
Provider Profile Details
NPI Number
1154310472
Provider Name
Jerome A Bannister Dds Inc
Credential
Provider Entity Type
Organization
Address
4370 Palm Ave, San Diego, CA, 92154-1760
Phone Number
619-428-8682
Fax Number
619-428-1043
Provider Enumeration Date
10/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B38253 01 01 CA MEDI CAL
institution
Provider Business Practice Location Address Details
Address
4370 Palm Ave
City
State
Zip
92154-1760
Phone Number
619-428-8682
Fax Number
619-428-1043
person
Provider Business Mailing Address Details
Address
4370 Palm Ave
City
State
Zip
92154-1760
Phone Number
619-428-8682
Fax Number
619-428-1043
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
38253 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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