Individual
DR. JASON ANDREW BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1745 CITY CENTER BLVD STE A, ELIZABETH CITY, NC 27909
(252) 331-2304
Mailing address
1745 CITY CENTER BLVD STE A, ELIZABETH CITY, NC 27909-8953
(252) 331-2304
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8559
NC
Other
Enumeration date
06/14/2007
Last updated
09/04/2018
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