Alexander Bannout DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013382 Issued in GA

Legal business name

ALEXANDER BANNOUT DDS, PC

Practice address

130 Canal St
Suite 204
Pooler, GA 31322-4085

Phone

(912) 748-5868

Fax

(912) 748-6778

NPI assigned

Jul 25, 2010

Organization subpart

No

Name

Dr. Alexander Bannout, DDSNPI 1255419446

Title

Dentist

Phone

(248) 890-7347

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexander Bannout, DDS

  • General Practice Dentistry
  • Pooler, GA
  • NPI 1255419446

  General Practice

  NPD (past) Authorized official

Locations

• Parkway Center for Cosmetic Dentistry Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 25, 2010.

{
    "created_epoch": "1280016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280016000000",
    "number": "1982917522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 CANAL ST",
            "address_2": "SUITE 204",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224085",
            "telephone_number": "912-748-5868",
            "fax_number": "912-748-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CANAL ST",
            "address_2": "SUITE 204",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224085",
            "telephone_number": "912-748-5868",
            "fax_number": "912-748-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER BANNOUT DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-25",
        "last_updated": "2010-07-25",
        "status": "A",
        "authorized_official_last_name": "BANNOUT",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "248-890-7347",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkway Center for Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Affordable Dentures - Savannaha, P.C
• James Ahern, RBT
• Shamshad Ahmed, PHD, LPC
• Carina Ashok Akshar, PT, DPT
• Christopher Robin Alden
• Matthew J Allen, DDS
• Tamia Allen
• Imani Alston
• Altamaha DME, Inc
• Miracle Danyelle Alvin

• All providers in Pooler, GA
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2010; 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.