Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255419446 Individual Practitioner Male Practitioner

Dr. Alexander Bannout , DDS

Dentist - General Practice • Pooler, GA

Professional Overview & Biography Verified Profile Summary

Dr. Alexander Bannout, DDS is a registered healthcare professional specializing in Dentist - General Practice in Pooler, GA. Practice services are available at 130 CANAL ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

130 Canal St
Suite 204

Pooler, GA 313224085

Telephone 9127485868
Fax 9127486778
Associated Practice Facility / Clinic
🏢 Alexander Bannout Dds, Pc Facility NPI 1982917522

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Pooler, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
11 Specialists

Practicing in Pooler, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN013382

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License MI 2901019341

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Jaime Watkins-Gillham

Behavior Analyst

NPI 1053606798
Danielle Carter

Behavior Analyst

NPI 1821451709

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 24, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location September 24, 2010

Registered at 130 CANAL ST, SUITE 204, POOLER, GA 313224085 (Tel: 9127485868)

📍
Updated Business Mailing Address September 24, 2010

Registered at 130 CANAL ST, SUITE 204, POOLER, GA 313224085 (Tel: 9127485868)

👤
Provider Name / Credentials Updated September 24, 2010

Recorded as ALEXANDER BANNOUT, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2010

Dentist (License #DN013382 in GA)

🟢
Initial NPI Registration & Enumeration November 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255419446
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2006
Last Update: September 24, 2010
Sole Proprietor: No

Mailing Address

130 Canal St, Suite 204

Pooler, GA 313224085

Phone: 9127485868

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.