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Organization
BANKS FAMILY DENTISTRY
Active
Organization
BANKS FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES H BANKS JR. (PRESIDENT)
(205) 486-8601
Entity
Organization
Contact information
Practice address
2095 20TH AVE, HALEYVILLE, AL 35565-2136
(205) 486-8601
Mailing address
2095 20TH AVE, HALEYVILLE, AL 35565-2136
(205) 486-8601
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4826
AL
122300000X
Dentist
6238
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538459458
—
AL
Enumeration date
10/05/2016
Last updated
10/05/2016
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