NEIDRE JANELL BANAKUS DDS PC NPI 1487377800

NPI Information

  • NPI: 1487377800
  • Provider Name: NEIDRE JANELL BANAKUS DDS PC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 224 VILLAGE WALK DR
    HOLLY SPRINGS, NC
    ZIP 27540
  • Phone: (919) 200-0463

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NPI Details

NEIDRE JANELL BANAKUS DDS PC is a pediatric dentistry dentist in Holly Springs, NC. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. NEIDRE JANELL BANAKUS DDS PC NPI is 1487377800. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

224 VILLAGE WALK DR
HOLLY SPRINGS, NC
ZIP 27540-681
Phone: (919) 200-0463
Fax: (919) 800-3692

The provider's authorized official is Neidre Janell Banakus .
The authorized official title is President and has the following contact phone number (415) 250-2237.

The enumeration date for this NPI number is 9/21/2022 and was last updated on 9/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric DentistryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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