Individual provider · Type 1 NPI

Jackie L. Banahan, DMD

Pediatric Dentistry · Lexington, KY

NPI number 1093866154 Active

Practice location

3141 Beaumont Centre Cir, Suite 100
Lexington, KY 40513-1934

Call (859) 223-4888 Map

Fax (859) 296-4688

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X4977 (KY)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

8 other providers at this address

Other pediatric dentistry providers in Lexington

See all in Lexington →

About NPI 1093866154

Jackie L. Banahan, DMD's National Provider Identifier is 1093866154, issued on Jan 16, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Lexington, KY. The record was last updated on Jul 8, 2007.