Provider Demographics
NPI:1467534891
Name:BANKS, DEANNA E (DDS)
Entity Type:Individual
Prefix:DR
First Name:DEANNA
Middle Name:E
Last Name:BANKS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4920 MCDERMOTT RD STE 100
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-7769
Mailing Address - Country:US
Mailing Address - Phone:972-377-3121
Mailing Address - Fax:972-377-3116
Practice Address - Street 1:4920 MCDERMOTT RD STE 100
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024
Practice Address - Country:US
Practice Address - Phone:972-377-3121
Practice Address - Fax:972-377-3116
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2018-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18978122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist