Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amy Berhanu Demissie DDS PC

Organization Dentist · NPI 1215009246

Amy Berhanu Demissie DDS PC provides Dentist services in Banning, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

471 N San Gorgonio Ave
Banning, CA 92220
Phone: (951) 849-2888
Fax: (951) 849-1454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 30174 (CA)

Record details

NPI number1215009246
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amsale Demissie — President · (951) 849-2888
NPI enumeratedNovember 14, 2006
Last updated in NPPESAugust 22, 2020
Mailing address471 N San Gorgonio Ave, Banning, CA 92220

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