National Provider Identifier

Kenneth Richard Banas, D.D.S.

Kenneth Richard Banas, D.D.S. is listed in the NPPES registry with a primary specialty of Pediatric Dentistry in West Seneca, NY and a listed phone number of (716) 674-0924.

NPI 1396788246West Seneca, NYPediatric Dentistry

Profile Overview

NPI
1396788246
Provider Type
Individual
Primary Specialty
Pediatric Dentistry
Enumeration Date
June 14, 2006
Last Updated
July 08, 2007

Practice Location

  • 3615 Seneca St
  • Suite N
  • West Seneca, NY 14224-3444

Phone: (716) 674-0924

Specialties

  • Pediatric Dentistry (1223P0221X)
Full Record
NPI
1396788246
Entity Type
Individual
Last Name
Banas
First Name
Kenneth
Middle Name
Richard
Name Prefix
Dr.
Credential
D.D.S.
Mailing Street Address
3615 Seneca St
Mailing Address Line 2
Suite N
Mailing City
West Seneca
Mailing State
NY
Mailing ZIP Code
14224-3444
Mailing Country
US
Mailing Phone
(716) 674-0924
Mailing Fax
(716) 675-4774
Practice Street Address
3615 Seneca St
Practice Address Line 2
Suite N
Practice City
West Seneca
Practice State
NY
Practice ZIP Code
14224-3444
Practice Country
US
Practice Phone
(716) 674-0924
Practice Fax
(716) 675-4774
Enumeration Date
June 14, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Dentistry (1223P0221X)
Other Identifiers
00834684 (NY)