MRS. AMSALE BERHANU-DEMISSIE DDS.
NPI 1891915492
Dentist - General Practice in Banning, CA

Active since April 26, 2007
471 N SAN GORGONIO AVE, BANNING, CA 92220(951) 849-2888(951) 849-1454 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Amsale Berhanu-demissie Dds. NPPES

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

MRS. AMSALE BERHANU-DEMISSIE DDS. (NPI 1891915492) is an individual general practice provider in Banning, California, licensed in California (30174) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1891915492
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMRS. AMSALE BERHANU-DEMISSIECredential: DDS.
Location Address471 N SAN GORGONIO AVEBanning, CA 92220-5523
Mailing Address471 N San Gorgonio AveBanning, CA 92220-5523 · (951) 849-2888 · Fax (951) 849-1454
Fax(951) 849-1454
Sole ProprietorNo
Enumeration DateApril 26, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1891915492 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 · 30174
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.

471 N SAN GORGONIO AVE, Banning, CA 92220

Other Names 1

Professional Name (2)Mrs. Amy Berhanu-demissie Dds.

Other Identifiers 2

OtherG9202801CA · Dentical
OtherG9202802CA · Dentical

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
471 N SAN GORGONIO AVE
BANNING, CA 92220
Dentist (General Practice)
471 N SAN GORGONIO AVE
BANNING, CA 92220
Dentist
471 N SAN GORGONIO AVE
BANNING, CA 92220

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891915492, enumerated as an "individual" on April 26, 2007.

The provider is located at 471 N SAN GORGONIO AVE BANNING, CA 92220 and the phone number is (951) 849-2888.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.