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 is a Dentist 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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