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JEROME A BANNISTER DDS INC
NPI 1154310472
Dentist - General Practice in San Diego, CA

Active since October 19, 2005
4370 PALM AVE, STE C, SAN DIEGO, CA 92154(619) 428-8682(619) 428-1043 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerome A Bannister Dds Inc NPPES

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

JEROME A BANNISTER DDS INC (NPI 1154310472) is a healthcare organization registered as a general practice in San Diego, California and active in the NPI registry since October 2005. The organization lists Lizbeth Chavez, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1154310472
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJEROME A BANNISTER DDS INC
Location Address4370 PALM AVE, STE CSan Diego, CA 92154-1760
Mailing Address4370 Palm Ave, Ste CSan Diego, CA 92154-1760 · (619) 428-8682 · Fax (619) 428-1043
Phone(619) 428-8682
Fax(619) 428-1043
Organization SubpartNo
Authorized OfficialLizbeth ChavezOffice Manager · (619) 428-8682
Enumeration DateOctober 19, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1154310472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 38253
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4370 PALM AVE, San Diego, CA 92154
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Other Identifiers 1

OtherB38253 01CA · Medi Cal

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. JEROME A BANNISTER DDS
Dentist (General Practice)
4370 PALM AVE, SUITE C
SAN DIEGO, CA 92154
San Diego County (619) 428-8682

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 Jerome A Bannister Dds Inc's NPI number?

The NPI number for Jerome A Bannister Dds Inc is 1154310472. It was assigned to this organization in the NPPES registry on October 19, 2005.

Where is Jerome A Bannister Dds Inc located?

Jerome A Bannister Dds Inc is located at 4370 Palm Ave Ste C, San Diego, CA 92154. The listed phone number is (619) 428-8682.

What is Jerome A Bannister Dds Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jerome A Bannister Dds Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.