Dr. Kathy A Banks, DMD
Dentist, Oral and Maxillofacial Surgery in Barnegat, NJ. Individual provider (NPI-1).
NPI number1124090212
StatusActive
Last updated in NPPESSep 30, 2013
Details
- NPI
- 1124090212
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kathy A Banks
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 3, 2006
- Last updated
- Sep 30, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 17792 | NJ | Yes |
Practice location
249 S Main StUnit 4
Barnegat, NJ 08005-2301
Phone 609-488-2325 · Fax 609-488-2342
Mailing address
905 Laurel BlvdLanoka Harbor, NJ 08734-2720
Phone 609-488-2325 · Fax 609-488-2342
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