| Banks Family Dentistry | |
|
2095 20th Ave Haleyville AL 35565-2136 | |
| (205) 486-8601 | |
| Not Available |
| Full Name | Banks Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 2095 20th Ave, Haleyville, Alabama |
| Authorized Official Name and Position | Charles H Banks (PRESIDENT) |
| Authorized Official Contact | 2054868601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banks Family Dentistry 2095 20th Ave Haleyville AL 35565-2136 Ph: (205) 486-8601 | Banks Family Dentistry 2095 20th Ave Haleyville AL 35565-2136 Ph: (205) 486-8601 |
| NPI Number | 1164972923 |
|---|---|
| Provider Enumeration Date | 10/05/2016 |
| Last Update Date | 10/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164972923 | NPI | - | NPPES |
| 1538459458 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4826 (Alabama) | Primary |
| 122300000X | Dentist | 6238 (Alabama) | Secondary |
Dan M Lakeman, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Highway 13, Haleyville, AL 35565 Phone: 205-486-2731 Fax: 205-485-8584 | |
Christopher D. Borden, Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 21st St, Haleyville, AL 35565 Phone: 205-486-3113 Fax: 205-486-2641 |