Dr. Sean M. Bannan D.D.S.
Dentist in Port Orange, FL(View on Map)
Full Name
Dr. Sean Michael Bannan D.D.S.
NPI Number
1275894560
NPI Type
Individual Provider
Gender
Male
Enumeration Date
06/03/2012
Specialties
(Taxonomies)Licenses
State
Florida
License Number
20458
Contact
Information
Purpose
Mailing
Location
Address
4410 S RIDGEWOOD AVE
4410 S RIDGEWOOD AVE
City
Port Orange
Port Orange
State
FL
FL
Postal Code
32127-4516
32127-4516
Country
US
US
Telephone Number
(386) 761-5883
(386) 761-5883
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/09/2019
Provider Address
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