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

Jack Richard Bansbach

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1952002412

Jack Richard Bansbach is a Student in an Organized Health Care Education/Training Program in Rochester, New York. Licensed in Florida. Registered with an NPI since 2023.

Licensed in
FL
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Rochester, NY

No coordinates on file. Search this address in Google Maps

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN28832 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1952002412
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 13, 2023
Last updated in NPPESApril 26, 2024
Certification dateApril 26, 2024

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