Charlotte E. Banker, DDS
Individual provider Active NPI General Practice Dentistry · Bossier City, LA
NPI 1962670075 · NPPES record last updated Feb 12, 2008
Key facts
- NPI
- 1962670075
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 5859 (LA)
- Practice address
- 2281 Benton Rd
Bossier City, LA 71111-3403 - Phone
- (318) 742-9852
- NPI assigned
- Feb 12, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5859 | LA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brigham and Brigham Professional | Past | Accepting new patients | |
| Brigham and Brigham Sleep Care | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5859 | LA | Yes |
Addresses
Primary practice location
2281 Benton Rd
Bossier City, LA 71111-3403
Mailing address
2281 Benton Rd
Bossier City, LA 71111-3403
Phone (318) 742-9852
Other providers in Bossier City, LA
- Louie T Ballis
- Attila Balogh
- Michael A Banda
- Lauren Gernand Banet
- Andrew R Banker
- Lori Ann Barber
- Ryan Brand Barcelona
- Craig Barnes
- Marcus W Barnett
- Genevieve Barrett
All providers in Bossier City, LA · General Practice Dentistry in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.