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Raven Banks, DMD
General Practice Dentistry in Waldorf, Maryland
NPI 1295231975

Raven Banks is a General Practice Dentistry based in Waldorf, MD and is specialized in General Practice. Raven Banks practices in Waldorf, MD and has the professional credentials of DMD. The NPI Number for Raven Banks is 1295231975 and holds a License No. 0401416502 (Maryland).

The current practice location address for Raven Banks is 3728 Crain Hwy Unit 105, Waldorf, MD and can be reached out via phone at 240-448-2634.

Location: 3728 Crain Hwy Unit 105, Waldorf, MD, 20603-4888
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295231975
Provider Name
Raven Banks
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
3728 Crain Hwy Unit 105, Waldorf, MD, 20603-4888
Phone Number
240-448-2634
Fax Number
Provider Enumeration Date
04/02/2018
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
3728 Crain Hwy Unit 105
City
Waldorf
State
Maryland
Zip
20603-4888
Phone Number
240-448-2634
Fax Number
person
Provider Business Mailing Address Details
Address
3728 Crain Hwy Unit 105
City
Waldorf
State
Maryland
Zip
20603-4888
Phone Number
240-448-2634
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
0401416502 (Virginia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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