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Dr. Jackie L Banahan

Pediatric Dentist

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

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Image

Dr. Jackie L Banahan

Pediatric Dentist

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

(859) 296-4688

Write a Review Save Call

Dr. Jackie L Banahan

Pediatric Dentist

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

(859) 296-4688 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pediatric Dentist

Languages spoken

  • English

Location

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

First Address

  • Dr. Jackie L Banahan
  • 3141 Beaumont Centre Cir Suite 100
  • Lexington, KY
  • Zip : 40513-1934
  • Fax : (859) 296-4688
  • Phone : (859) 223-4888

Second Address

  • Dr. Jackie L Banahan
  • 3141 Beaumont Centre Cir Suite 100
  • Lexington, KY
  • Zip : 40513-1934
  • Fax : (859) 296-4688
  • Phone : (859) 223-4888

Reviews

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FAQs


Where did Dr. Jackie L Banahan attend graduate school?

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Where did Dr. Jackie L Banahan do her residency?

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Where did Dr. Jackie L Banahan do her fellowship?

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Is Dr. Jackie L Banahan board certified?

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What type of doctor is Dr. Jackie L Banahan

Pediatric Dentist

In what state does Dr. Jackie L Banahan practice in?

Kentucky

Where is Dr. Jackie L Banahan ’s practice located?

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

What is Dr. Jackie L Banahan ’s gender?

Female

Is Dr. Jackie L Banahan a sole practitioner?

No

Is Dr. Jackie L Banahan accepting new patients?

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What languages does Dr. Jackie L Banahan speak?

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Does Dr. Jackie L Banahan accept insurance?

Yes, Dr. Jackie L Banahan accepts insurance

Does Dr. Jackie L Banahan offers telemedicine?

Dr. Jackie L Banahan has not indicated if she offers telemedicine

What is Dr. Jackie L Banahan ’s professional license number?

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What is Dr. Jackie L Banahan ’s NPI number?

1093866154

Does Dr. Jackie L Banahan have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1223P0221X Pediatric Dentist 4977 KY

National Provider Identifier

NPI 1093866154
Provider Name Dr. Jackie L Banahan
First Address Lexington, KY 40513-1934
Second Address Lexington, KY 40513-1934
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 16/01/2007
Last Update Date 08/07/2007

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
60049772 (05) KY

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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