Bankston Family Dentistry

Organization Active NPI General Practice Dentistry · Gallatin, TN

NPI 1619255718 · NPPES record last updated Jul 25, 2011

Key facts

NPI
1619255718
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
DS3246 (TN)
Legal business name
BANKSTON FAMILY DENTISTRY
Practice address
335 W Main St
Suite J
Gallatin, TN 37066-3240
Phone
(615) 452-6191
Fax
(615) 452-9711
NPI assigned
Jul 25, 2011
Organization subpart
No

Authorized official

Name
Dr. Carl Walter Bankston Jr., DDS
Title
Owner Dentist
Phone
(615) 452-6191

National Provider Directory

Locations

335 W Main St
#J
Gallatin, TN 37066
Phone (615) 452-6191

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X DS3246 TN Yes

Addresses

Primary practice location

335 W Main St
Suite J
Gallatin, TN 37066-3240

Mailing address

335 W Main St
Suite J
Gallatin, TN 37066-3240
Phone (615) 452-6191

Other providers in Gallatin, TN

All providers in Gallatin, TN · General Practice Dentistry in Tennessee

Sources for this page

Verify at the official NPI Registry.