| Ron Banik Dmd Pc | |
|
8720 Northpark Blvd Suite B North Charleston SC 29406-9220 | |
| (843) 553-0911 | |
| (843) 553-0981 |
| Full Name | Ron Banik Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 8720 Northpark Blvd, North Charleston, South Carolina |
| Authorized Official Name and Position | Manendu Banik (OWNER/CEO) |
| Authorized Official Contact | 8435530911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ron Banik Dmd Pc 8720 Northpark Blvd Suite B North Charleston SC 29406-9220 Ph: (843) 553-0911 | Ron Banik Dmd Pc 8720 Northpark Blvd Suite B North Charleston SC 29406-9220 Ph: (843) 553-0911 |
| NPI Number | 1376693572 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 07/19/2023 |
| Medicare PECOS PAC ID | 9537504741 |
|---|---|
| Medicare Enrollment ID | O20240228000025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376693572 | NPI | - | NPPES |
| ZA9768 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 122300000X | Dentist | (* (Not Available)) | Primary |
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