Individual
DR. STEPHEN DREW BANNERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3024 S. UNIVERSITY, LITTLE ROCK, AR 72204-6008
(501) 565-0606
(501) 565-0601
Mailing address
5805 GREENHURST DRIVE, NORTH LITTLE ROCK, AR 72116-6310
(501) 309-8239
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3616
AR
Other
Enumeration date
06/20/2007
Last updated
02/14/2008
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