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

Dr. Jackie L Banahan, DMD

Individual provider Pediatric Dentistry · NPI 1093866154

Dr. Jackie L Banahan, DMD is a Pediatric Dentistry in Lexington, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3141 Beaumont Centre Cir Ste 100
Lexington, KY 40513-1934
Phone: (859) 223-4888
Fax: (859) 296-4688
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 4977 (KY)

Record details

NPI number1093866154
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedJanuary 16, 2007
Last updated in NPPESJuly 8, 2007

Other providers in Lexington