Individual
DR. WILLIAM BENTLEY BANISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2111 S OLD MISSOURI RD, SPRINGDALE, AR 72764-8718
(479) 340-0005
Mailing address
1805 DUKE DR, RICHARDSON, TX 75081-3131
(479) 530-1099
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
38924
TX
122300000X
Dentist
Primary
4734
AR
1223G0001X
General Practice Dentistry
38924
TX
Other
Enumeration date
08/29/2022
Last updated
05/22/2024
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