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NPI Code Detail

MEDICARE: ASHLEY BANKS

MEDICARE:   ASHLEY  BANKS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryG10011561DE

General Provider Information

NPI Number : 1912640442
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY BANKS
Provider Business Mailing Address
First Line : 31381 DOGWOOD ACRES DR
Second Line :
City : DAGSBORO
State : DE
Zip : 19939-4076
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 31381 DOGWOOD ACRES DR
Second Line :
City : DAGSBORO
State : DE
Zip : 19939-4076
Country : US
Telephone Number : 302-732-3852
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2022
Last Update Date : 08/06/2023

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Directions to “ ASHLEY BANKS ” Practice Location

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