| Doctor Name: | DR. ROBERT JAMES BANKS |
| NPI Number: | 1720148786 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DMD |
| License Number: | 0401007772 |
| Business Practice Address: | 11800 Sunrise Valley Dr. Suite 1137 Reston, VA - 20191 |
| Business Phone Number: | 7033918836 |
| Business Fax Number: | 7033916802 |
| Mailing Address: | 11800 Sunrise Valley Dr., Suite 1137 RESTON |
| State: | VA |
| Postal Code: | 20191 |
| Phone Number: | 7033918836 |
| Fax Number: | 7033916802 |
| NPI Enumeration Date: | 12/11/2006 |
| NPI Last Update Date: | 09/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0401007772 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |