| Drew Bannerman Dds, P.a. | |
|
4603 Fairway Ave North Little Rock AR 72116-8052 | |
| (501) 771-7744 | |
| Not Available |
| Full Name | Drew Bannerman Dds, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4603 Fairway Ave, North Little Rock, Arkansas |
| Authorized Official Name and Position | Stephen Drew Bannerman (PRESIDENT) |
| Authorized Official Contact | 5012564256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drew Bannerman Dds, P.a. 13 Heritage Park Cir North Little Rock AR 72116-8528 Ph: (501) 256-4256 | Drew Bannerman Dds, P.a. 4603 Fairway Ave North Little Rock AR 72116-8052 Ph: (501) 771-7744 |
| NPI Number | 1235753682 |
|---|---|
| Provider Enumeration Date | 06/02/2020 |
| Last Update Date | 06/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235753682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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