Dr. Jackie L Banahan
D.M.D. | Pediatric Dentist
3141 Beaumont Centre Cir, Suite 100, Lexington
Kentucky, 40513-1934
859-223-4888 859-296-4688
Maps & DirectionsDr. Jackie L Banahan is a Lexington, Kentucky based Pediatric Dentist who is specialized in
Pediatric Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Jackie L Banahan is
4977 for Pediatric Dentistry in Kentucky. Her current practice location is
3141 Beaumont Centre Cir, Suite 100, Lexington. Patients can reach her at
859-223-4888.
Dr. Jackie L Banahan provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Jackie L Banahan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Jackie L Banahan |
| Specialization: | Pediatric Dentist |
| Gender: | Female |
| Credentials: | D.M.D. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 3141 Beaumont Centre Cir, Suite 100, Lexington,
Kentucky, 40513-1934 |
| Phone: | 859-223-4888 |
| Fax: | 859-296-4688 |
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 are as mentioned below.
| NPI Number: | 1093866154 |
| NPI Enumeration Date: | 16 Jan, 2007 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jackie L Banahan are as mentioned below.
| License Number | Specialization | State | Status | |
| 4977 | Pediatric Dentistry | Kentucky | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jackie L Banahan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 60049772 | Medicaid | Kentucky | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3141 Beaumont Centre Cir, Suite 100
Lexington, Kentucky |
| Zip: | 40513-1934 |
| Phone Number: | 859-223-4888 |
| Fax Number: | 859-296-4688 |
Patients can reach Dr. Jackie L Banahan at
3141 Beaumont Centre Cir, Suite 100, Lexington, Kentucky or can
call to book an appointment on 859-223-4888.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.