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DR. JACKIE L BANAHAN D.M.D.
NPI 1093866154
Dentist - Pediatric Dentistry in Lexington, KY

Active since January 16, 2007
3141 BEAUMONT CENTRE CIR, SUITE 100, LEXINGTON, KY 40513(859) 223-4888(859) 296-4688 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jackie L Banahan D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACKIE L BANAHAN D.M.D. (NPI 1093866154) is an individual pediatric dentistry provider in Lexington, Kentucky, licensed in Kentucky (4977) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1093866154
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. JACKIE L BANAHANCredential: D.M.D.
Location Address3141 BEAUMONT CENTRE CIR, SUITE 100Lexington, KY 40513-1934
Mailing Address3141 Beaumont Centre Cir, Suite 100Lexington, KY 40513-1934 · (859) 223-4888 · Fax (859) 296-4688
Phone(859) 223-4888
Fax(859) 296-4688
Sole ProprietorYes
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1093866154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in KY · 4977
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
3141 BEAUMONT CENTRE CIR, Lexington, KY 40513
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Other Identifiers 1

Medicaid60049772KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALLISON STEWART WRIGHT DMD, MS
Dentist (Periodontics)
3141 BEAUMONT CENTRE CIR, SUITE 101
LEXINGTON, KY 40513
Fayette County (859) 268-4407
DR. RYAN J GOLIBERSUCH D.M.D.
Dentist (General Practice)
3141 BEAUMONT CENTRE CIR, SUITE 300
LEXINGTON, KY 40513
Fayette County (859) 223-2120
WHITE, GREER AND MAGGARD, PSC
Dentist (Orthodontics and Dentofacial Orthopedics)
3141 BEAUMONT CENTRE CIR, SUITE 200
LEXINGTON, KY 40513
Fayette County (859) 296-4846
ARROW DENTAL PLLC
Dentist (Orthodontics and Dentofacial Orthopedics)
3141 BEAUMONT CENTRE CIR, SUITE 200
LEXINGTON, KY 40513
Fayette County (859) 296-4846
DR. JOHN R CRAMER DDS MD
Dentist
3141 BEAUMONT CENTRE CIR, STE 103
LEXINGTON, KY 40513
Fayette County (859) 219-1913
JACQUELINE KELLEY DMD
Dentist
3141 BEAUMONT CENTRE CIR
LEXINGTON, KY 40513
Fayette County (859) 223-2120
KATHARINE BOWEN D.M.D
Dentist
3141 BEAUMONT CENTRE CIR
LEXINGTON, KY 40513
Fayette County (859) 223-2120
DR. KYLE ASHLEY GOLIBERSUCH D.M.D,
Dentist
3141 BEAUMONT CENTRE CIR, SUITE 300
LEXINGTON, KY 40513
Fayette County (859) 223-2120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Banahan's NPI number?

The NPI number for Jackie Banahan is 1093866154. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Jackie Banahan located?

Jackie Banahan practices at 3141 Beaumont Centre Cir Suite 100, Lexington, KY 40513. The listed phone number is (859) 223-4888.

What is Jackie Banahan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Jackie Banahan accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Jackie Banahan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jackie Banahan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.