Individual
CHRISTOPHER MICHAEL BANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., MD
Contact information
Practice address
2036 PATTON CHAPEL RD, HOOVER, AL 35216-5770
(205) 979-9738
(205) 979-9760
Mailing address
2036 PATTON CHAPEL RD, HOOVER, AL 35216-5770
(205) 979-9738
(205) 979-9760
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6094
AL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
6094
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2013
Last updated
05/22/2024
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