Organization
BANKSTON FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL WALTER BANKSTON JR. DDS (OWNER DENTIST)
(615) 452-6191
Entity
Organization
Contact information
Practice address
335 W MAIN ST, SUITE J, GALLATIN, TN 37066-3240
(615) 452-6191
(615) 452-9711
Mailing address
335 W MAIN ST, SUITE J, GALLATIN, TN 37066-3240
(615) 452-6191
(615) 452-9711
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS3246
TN
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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