Banas, Kenneth Richard

Banas, Kenneth Richard is an individual health care provider with primary practice located at 3615 Seneca St Suite N, West Seneca NY 14224-3444. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Banas, Kenneth Richard can be contacted via phone (716) 674-0924.

Contact Information

Primary practice address
3615 Seneca St Suite N West Seneca NY 14224-3444
Phone: (716) 674-0924
Fax: (716) 675-4774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 038341-1 New York

Profile Details

NPI number 1396788246
LBN Legal business name Banas, Kenneth Richard
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396788246 NPPES
New York MEDICAID 00834684

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