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

Jerome a Bannister DDS Inc

Organization General Practice Dentistry · NPI 1154310472

Jerome a Bannister DDS Inc provides General Practice Dentistry in San Diego, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4370 Palm Ave Ste C
San Diego, CA 92154-1760
Phone: (619) 428-8682
Fax: (619) 428-1043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 38253 (CA)

Record details

NPI number1154310472
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lizbeth Chavez — Office Manager · (619) 428-8682
NPI enumeratedOctober 19, 2005
Last updated in NPPESAugust 22, 2020
Mailing address4370 Palm Ave, Ste C, San Diego, CA 92154-1760

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