Jerome A Bannister Dds Inc

LBN: Jerome A Bannister Dds Inc
Jerome A Bannister Dds Inc is an health care organization with primary practice located at 4370 Palm Ave Ste C, San Diego CA 92154-1760. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Jerome A Bannister Dds Inc can be contacted via phone (619) 428-8682, or through Chavez, Lizbeth via phone (619) 428-8682.

Contact Information

Primary practice address
4370 Palm Ave Ste C San Diego CA 92154-1760
Phone: (619) 428-8682
Fax: (619) 428-1043
Website:
Map and Directions
Authorized official contact:
Name: Chavez, Lizbeth
Phone: (619) 428-8682

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 38253 California

Profile Details

NPI number 1154310472
LBN Legal business name Jerome A Bannister Dds Inc
DBA Doing business as
Authorized official Chavez, Lizbeth
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154310472 NPPES
California Other B38253 01 MEDI CAL

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