Individual
DR. MICHAEL JOSEPH BANNISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
291 SEVEN FARMS DR, SUITE102, DANIEL ISLAND, SC 29492-7998
(843) 971-1701
(843) 971-4107
Mailing address
291 SEVEN FARMS DR, SUITE102, DANIEL ISLAND, SC 29492-7998
(843) 971-1701
(843) 971-4107
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
SC3149
SC
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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