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

Alexander Dmitry Banketov, DDS

Individual provider Dentist · NPI 1124857164

Alexander Dmitry Banketov, DDS is a Dentist in Omaha, Nebraska. Licensed in North Carolina and Nebraska. Registered with an NPI since 2024.

Licensed in
NC, NE
In the registry since
2024
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

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Practice location Address checks out

4920 S 30th St Ste 103
Omaha, NE 68107-1656
Phone: (402) 734-4110
Fax: (402) 734-3990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 8056 (NE)
Dentist Taxonomy 122300000X · Licence 13921 (NC)

Record details

NPI number1124857164
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 29, 2024
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025

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