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CHRISTOPHER MICHAEL BANNON D.M.D., MD

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1063857589

Individual Registrant:
 CHRISTOPHER MICHAEL BANNON D.M.D., MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
230 E 10TH ST STE 106  ANNISTON, AL 36207-5771 US
Tel: 256-741-7340  Fax: 256-741-7373

Contact information for business:
625 19TH ST S  BIRMINGHAM, AL 35233-1900 US
Tel: --  Fax: --

Registration Information:
NPI: 1063857589
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
AL6094
N390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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