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

Dr. Jerome A Bannister, DDS

Individual provider General Practice Dentistry · NPI 1922024934

Dr. Jerome A Bannister, DDS is a General Practice Dentistry in San Diego, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
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.

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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 number1922024934
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 14, 2006
Last updated in NPPESJuly 8, 2007

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