Alexander Bannout DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013382 Issued in GA

Legal business name

ALEXANDER BANNOUT DDS, PC

Doing business as

Parkway Center for Cosmetic Dentistry

Practice address

130 Canal St
Suite 204
Pooler, GA 31322-4085

Phone

(912) 748-5868

Fax

(912) 748-6778

NPI assigned

Jul 25, 2010

Last updated

Jul 25, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alexander Bannout, DDSNPI 1255419446

Title

Dentist

Phone

(248) 890-7347

Specialties & licenses 1

Addresses

Other names 1

• Parkway Center for Cosmetic Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexander Bannout, DDS

  • General Practice Dentistry
  • Pooler, GA
  • NPI 1255419446
  NPD (past) Authorized official

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

{
    "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": "",
            "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"
        }
    ]
}

• James Ahern, RBT
• Shamshad Ahmed, PHD, LPC
• Carina Ashok Akshar, PT, DPT
• Christopher Robin Alden
• Isabelle Mercedes Alegria
• Matthew J Allen, DDS
• Tamia Allen
• Imani Alston
• Altamaha DME, Inc (Coastal Medical Equipment & Uniforms)
• Miracle Danyelle Alvin

• General Practice Dentistry in Pooler, GA
• Providers in Pooler, GA by specialty
• 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.