Michael Joseph Bannister, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

SC3149 Issued in SC

Practice address

291 Seven Farms Dr
Suite102
Daniel Island, SC 29492-7998

Phone

(843) 971-1701

Fax

(843) 971-4107

NPI assigned

Jan 4, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528115664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 SEVEN FARMS DR",
            "address_2": "SUITE102",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294927998",
            "telephone_number": "843-971-1701",
            "fax_number": "843-971-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 SEVEN FARMS DR",
            "address_2": "SUITE102",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294927998",
            "telephone_number": "843-971-1701",
            "fax_number": "843-971-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNISTER",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "SC3149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audiology Services Company USA, LLC
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• Daniel J. Balog, M.D.
• Rachel Renee Banton, DNP-FNP
• Laurin Barnett, CF, SLP
• Kelly Beth Barron, D.C.
• Andrew Bartle, PHARMD
• Roger F Basha, DDS

• General Practice Dentistry in Daniel Island, SC
• Providers in Daniel Island, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.