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

Dr. Sean Michael Bannan, DDS

Individual provider Dentist · NPI 1275894560

Dr. Sean Michael Bannan, DDS is a Dentist in Port Orange, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2012
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

4410 S Ridgewood Ave
Port Orange, FL 32127-4516
Phone: (386) 761-5883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 20458 (FL)

Record details

NPI number1275894560
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 3, 2012
Last updated in NPPESOctober 9, 2019
Mailing address4410 S Ridgewood Ave, Port Orange, FL 32127-4516

Other providers in Port Orange