SearchFlorida122300000X

Sean Bannan, D.D.S

NPI 1275894560 · on the registry since 2012 · sole proprietor

Practice

Address
4410 S Ridgewood Ave
Port Orange, FL 32127
Phone
(386) 761-5883

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-10-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida