IndividualActive
Alexander Bannout, DDS
NPI 1255419446 · General Practice Dentistry · Pooler, GA
Provider details
- NPI number
- 1255419446
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- DN013382 (GA)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
130 Canal St
Suite 204
Pooler, GA 31322-4085
Phone: (912) 748-5868
Fax: (912) 748-6778
Approximate (ZIP-level) locationGet directions
Mailing address
130 Canal St
Pooler, GA 31322-4085
Registry dates
- Enumerated
- 2006-11-02
- Last updated
- 2010-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.