Edward James Banas, DDS Valid NPI
Individual provider · General Practice Dentistry · Ocean Springs, MS
- NPI
- 1689695413
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 305998 (MS)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-07-21
- Last updated
- 2011-07-13
Practice location
2113 Government St, Government Place Suite K-1
Ocean Springs, MS 39564-3954
(228) 826-3811