Individual
DR. EDWARD JAMES BANAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2113 GOVERNMENT ST, GOVERNMENT PLACE SUITE K-1, OCEAN SPRINGS, MS 39564-3954
(228) 826-3811
(228) 826-3813
Mailing address
2113 GOVERNMENT ST, GOVERNMENT PLACE SUITE K-1, OCEAN SPRINGS, MS 39564-3954
(228) 826-3811
(228) 826-3813
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
036708
NY
122300000X
Dentist
DD2726
NM
122300000X
Dentist
DN013268
GA
1223G0001X
General Practice Dentistry
Primary
305998
MS
Other
Enumeration date
07/21/2006
Last updated
07/13/2011
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