| Bankston Family Dentistry | |
|
335 W Main St Suite J Gallatin TN 37066-3240 | |
| (615) 452-6191 | |
| (615) 452-9711 |
| Full Name | Bankston Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 335 W Main St, Gallatin, Tennessee |
| Authorized Official Name and Position | Carl Walter Bankston (OWNER DENTIST) |
| Authorized Official Contact | 6154526191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bankston Family Dentistry 335 W Main St Suite J Gallatin TN 37066-3240 Ph: (615) 452-6191 | Bankston Family Dentistry 335 W Main St Suite J Gallatin TN 37066-3240 Ph: (615) 452-6191 |
| NPI Number | 1619255718 |
|---|---|
| Provider Enumeration Date | 07/25/2011 |
| Last Update Date | 07/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619255718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS3246 (Tennessee) | Primary |
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