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DR. RISHARD MEKEL BANKS DDS
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1669782066
Individual Registrant:DR. RISHARD MEKEL BANKS DDS
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
SNYDER DENTAL CLINIC BLDG 25501 BRAINARD AVE FORT GORDON, GA 30905 US
Tel: 706-787-4466 Fax: --
Tel: 706-787-4466 Fax: --
Contact information for business:
BLDG 25501 BRAINARD AVE AUGUSTA, GA 30905 US
Tel: 706-787-4466 Fax: --
Tel: 706-787-4466 Fax: --
Registration Information:
NPI: 1669782066
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 122300000X | Dental Providers Dentist | LA | D6133 |
| Y | 122300000X | Dental Providers Dentist | MD | 14714 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
