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Bankston Family Dentistry

NPI #1619255718 in Gallatin, Tennessee

Provider Information

NPI Number
1619255718
Entity Type
Organization
Organization Name
Bankston Family Dentistry
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 25, 2011
Last Updated
Jul 25, 2011

Practice Location

Address
335 W MAIN ST
Address 2
SUITE J
City
Gallatin
State
Tennessee
ZIP Code
37066-3240
Phone
(615) 452-6191

Authorized Official

Name
DR. CARL WALTER BANKSTON JR., DDS
Title
OWNER DENTIST
Phone
(615) 452-6191

Specialties & Taxonomy Codes

Specialty
Dentist - General Practice — General Practice

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