Individual
DR. JEFFREY CHARLES BANKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
4121 OLD COLLINSVILLE RD, SWANSEA, IL 62226-2441
(618) 236-0501
Mailing address
1837 RIVIERA LN, O FALLON, IL 62269-6698
(618) 628-6381
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019020543
IL
Other
Enumeration date
12/22/2005
Last updated
01/19/2023
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