Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629569900 Individual Practitioner Male Practitioner

Dr. David Todd Banooni , DDS

Dentist • Canton, MI

Professional Overview & Biography Verified Profile Summary

Dr. David Banooni, DDS is a registered healthcare professional specializing in Dentist in Canton, MI. Practice services are available at 155 N CANTON CENTER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

155 N Canton Center Rd

Canton, MI 481872901

Telephone 7348441300
Associated Practice Facility / Clinic
🏢 David N. Kam, D.d.s., P.c. Facility NPI 1811161060

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Canton, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.7 Yrs
Regional Practice Density
35 Specialists

Practicing in Canton, MI (3647 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MI 2901022615

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1104910405

Doctor of Dental Surgery

Jennifer Grenoble , RDH

Dental Hygienist

NPI 1750112868

Registered Dental Hygienist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 23, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 23, 2018

Registered at 155 N CANTON CENTER RD, CANTON, MI 481872901 (Tel: 7348441300)

📍
Updated Business Mailing Address May 23, 2018

Registered at 1971 LONG LAKE SHORE DR, BLOOMFIELD HILLS, MI 483021238 (Tel: 2489787962)

👤
Provider Name / Credentials Updated May 23, 2018

Recorded as DAVID BANOONI, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2018

Dentist (License #2901022615 in MI)

🟢
Initial NPI Registration & Enumeration May 23, 2018

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: 1629569900
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2018
Last Update: May 23, 2018
Sole Proprietor: No

Mailing Address

1971 Long Lake Shore Dr

Bloomfield Hills, MI 483021238

Phone: 2489787962

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.