Active NPI
Bankston Family Dentistry
- General Practice Dentistry
- Gallatin, TN
National Provider Identifier
1619255718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS3246
- 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
- Last updated
- Jul 25, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carl Walter Bankston Jr., DDS
- Title
- Owner Dentist
- Phone
- (615) 452-6191
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS3246 | TN | Primary |
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
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1311552000000",
"number": "1619255718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 W MAIN ST",
"address_2": "SUITE J",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370663240",
"telephone_number": "615-452-6191",
"fax_number": "615-452-9711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 W MAIN ST",
"address_2": "SUITE J",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370663240",
"telephone_number": "615-452-6191",
"fax_number": "615-452-9711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BANKSTON FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-25",
"last_updated": "2011-07-25",
"status": "A",
"authorized_official_last_name": "BANKSTON",
"authorized_official_first_name": "CARL",
"authorized_official_middle_name": "WALTER",
"authorized_official_title_or_position": "OWNER DENTIST",
"authorized_official_telephone_number": "615-452-6191",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "DS3246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gallatin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.