| Charles C Banister Dmd | |
|
1 Birch St Derry NH 03038-2101 | |
| (603) 432-3335 | |
| (603) 434-8593 |
| Full Name | Charles C Banister Dmd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1 Birch St, Derry, New Hampshire |
| Authorized Official Name and Position | Charles Banister (OWNER) |
| Authorized Official Contact | 6034323335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles C Banister Dmd 1 Birch St Derry NH 03038-2101 Ph: (603) 432-3335 | Charles C Banister Dmd 1 Birch St Derry NH 03038-2101 Ph: (603) 432-3335 |
| NPI Number | 1154747293 |
|---|---|
| Provider Enumeration Date | 03/13/2014 |
| Last Update Date | 03/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154747293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2371 (New Hampshire) | Primary |
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