KEVIN D. BANNER
NPI 1871763649
Dentist in Burley, ID

Active since March 07, 2008
1010 E MAIN ST, BURLEY, ID 83318(208) 678-5597(208) 678-5663 Get Directions Write a Review

NPPES record last updated: March 7, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin D. Banner NPPES

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

KEVIN D. BANNER (NPI 1871763649) is a healthcare organization registered as a dentist in Burley, Idaho and active in the NPI registry since March 2008. The organization lists Echo S Roberts, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1871763649
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameKEVIN D. BANNER
Location Address1010 E MAIN STBurley, ID 83318-2045
Mailing Address1010 E Main StBurley, ID 83318-2045 · (208) 678-5597 · Fax (208) 678-5663
Fax(208) 678-5663
Organization SubpartNo
Authorized OfficialEcho S RobertsOffice Manager · (208) 678-5597
Enumeration DateMarch 7, 2008
NPI 1871763649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in ID · D1892
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1010 E MAIN ST, Burley, ID 83318

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Dentist (General Practice)
1010 E MAIN ST
BURLEY, ID 83318
Dentist
1010 E MAIN ST
BURLEY, ID 83318
Dentist (General Practice)
1010 E MAIN ST
BURLEY, ID 83318
Dentist (General Practice)
1010 E MAIN ST
BURLEY, ID 83318

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 Kevin D. Banner's NPI number?

The NPI number for Kevin D. Banner is 1871763649. It was assigned to this organization in the NPPES registry on March 7, 2008.

Where is Kevin D. Banner located?

Kevin D. Banner is located at 1010 E Main St, Burley, ID 83318. The listed phone number is (208) 678-5597.

What is Kevin D. Banner's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Kevin D. Banner was last updated on March 7, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.