Organization
RON BANIK DMD PC
Active
Other names
Carolina Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MANENDU BANIK DMD (OWNER/CEO)
(843) 553-0911
Entity
Organization
Contact information
Practice address
8720 NORTHPARK BLVD, SUITE B, NORTH CHARLESTON, SC 29406-9220
(843) 553-0911
(843) 553-0981
Mailing address
8720 NORTHPARK BLVD, SUITE B, NORTH CHARLESTON, SC 29406-9220
(843) 553-0911
(843) 553-0981
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9768
—
SC
Enumeration date
01/11/2007
Last updated
07/19/2023
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