Jerome A Bannister Dds Inc is a Dental Clinic in San Diego, California. It is located at 4370 Palm Ave, Ste C, San Diego, CA and its contact number is 619-428-8682. The authorized person for Jerome A Bannister Dds Inc is Ms. Lizbeth Chavez
who is Office Manager of the clinic and their contact number is 619-428-8682. The primary license number for Jerome A Bannister Dds Inc is 38253 (General Practice) in California.
Jerome A Bannister Dds Inc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Jerome A Bannister Dds Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Jerome A Bannister Dds Inc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 4370 Palm Ave, Ste C, San Diego,
California, 92154-1760 |
| Phone: | 619-428-8682 |
| Fax: | 619-428-1043 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Ms. Lizbeth Chavez |
| Position: | Office Manager |
| Contact Number: | 619-428-8682 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Jerome A Bannister Dds Inc clinic are as mentioned below.
| NPI Number: | 1154310472 |
| NPI Enumeration Date: | 19 Oct, 2005 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jerome A Bannister Dds Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 38253 | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| B38253 01 | Other | California | Medi Cal |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jerome A Bannister Dds Inc
4370 Palm Ave, Ste C
San Diego, California |
| Zip: | 92154-1760 |
| Phone Number: | 619-428-8682 |
| Fax Number: | 619-428-1043 |
Patients can reach Jerome A Bannister Dds Inc at
4370 Palm Ave, Ste C, San Diego, California or can
call to book an appointment on 619-428-8682.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.