Dr. 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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.