Nathanael Bannon, D.D.S

NPI 1750757423 · on the registry since 2015

Practice

Address: 3208 N Academy Blvd Ste 140
Colorado Springs, CO 80917
Phone: (719) 301-5300
Fax: (719) 301-5303
Organisation at this address: Summit Smiles Pllc
Summit Smiles Pllc
Prestige Dental Llc
Denterus Dental Lab
Psychotherapy Associates
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: CO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-08-18

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 Colorado