Dr. Michael Dwaine Banks, D.D.S.
Dentist, General Practice in Jacksonville, TX. Individual provider (NPI-1).
NPI number1497971097
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1497971097
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael Dwaine Banks
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 18, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 10566 | TX | Yes |
Practice location
606 Brookside DrJacksonville, TX 75766-2519
Phone 903-586-1551 · Fax 903-586-1552
Mailing address
606 Brookside DrJacksonville, TX 75766-2519
Phone 903-586-1551 · Fax 903-586-1552
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other General Practice Dentistry providers in Jacksonville, TX
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- Bradley Kent Westbrook, D.D.SNPI 1043471576
All 7 General Practice Dentistry providers in Jacksonville · All 337 providers in Jacksonville
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