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PARKWAY CENTER FOR COSMETIC DENTISTRY
NPI 1982917522
Dentist - General Practice in Pooler, GA

Active since July 25, 2010
130 CANAL ST, SUITE 204, POOLER, GA 31322(912) 748-5868(912) 748-6778 Get Directions Write a Review

NPPES record last updated: July 25, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Parkway Center For Cosmetic Dentistry NPPES

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

PARKWAY CENTER FOR COSMETIC DENTISTRY (NPI 1982917522) is a healthcare organization registered as a general practice in Pooler, Georgia and active in the NPI registry since July 2010. The organization lists Alexander Bannout, Dentist, as its authorized official.

NPPES Registry Identity

NPI1982917522
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameALEXANDER BANNOUT DDS, PC
Location Address130 CANAL ST, SUITE 204Pooler, GA 31322-4085
Mailing Address130 Canal St, Suite 204Pooler, GA 31322-4085 · (912) 748-5868 · Fax (912) 748-6778
Phone(912) 748-5868
Fax(912) 748-6778
Organization SubpartNo
Authorized OfficialAlexander BannoutDentist · (248) 890-7347
Enumeration DateJuly 25, 2010
✔ NPI 1982917522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · DN013382
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.
130 CANAL ST, Pooler, GA 31322
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Other Names 1

Doing Business AsParkway Center For Cosmetic Dentistry

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 6

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

JAIME MELINDA WATKINS-GILLHAM
Behavior Analyst
130 CANAL ST, BUILDING 400
POOLER, GA 31322
Chatham County (912) 988-1444
ALEXANDER BANNOUT DDS
Dentist (General Practice)
130 CANAL ST, SUITE 204
POOLER, GA 31322
Chatham County (912) 748-5868
SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC
Internal Medicine (Pulmonary Disease)
130 CANAL ST, SUITE 601
POOLER, GA 31322
Chatham County (912) 927-6270
COSTRINI & MEADOWS, PC
Internal Medicine (Pulmonary Disease)
130 CANAL ST, SUITE 601
POOLER, GA 31322
Chatham County (912) 927-6270
RANDALL CRUM INC.
Clinic/Center (Sleep Disorder Diagnostic)
130 CANAL ST, STE. 601
POOLER, GA 31322
Chatham County (912) 330-0979
DANIELLE CARTER
Behavior Analyst
130 CANAL ST, SUITE 403
POOLER, GA 31322
Chatham County (912) 988-1444

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 Alexander Bannout Dds, PC's NPI number?

The NPI number for Alexander Bannout Dds, PC is 1982917522. It was assigned to this organization in the NPPES registry on July 25, 2010. The provider is doing business as Parkway Center For Cosmetic Dentistry.

Where is Alexander Bannout Dds, PC located?

Alexander Bannout Dds, PC is located at 130 Canal St Suite 204, Pooler, GA 31322. The listed phone number is (912) 748-5868.

What is Alexander Bannout Dds, PC'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 Alexander Bannout Dds, PC was last updated on July 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.