Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THOMAS M. BANTA, D.D.S.
ActiveDR. THOMAS M. BANTA, D.D.S. is a General Dentistry healthcare provider located in PORTLAND, Indiana. NPI 1407835382 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · PORTLAND, IN
Registration Details
- NPI Number
- 1407835382
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 10, 2006 (20.605858128642 yrs)
- Last Updated
- Jul 9, 2007
- License
-
8772 (IN)
Practice Information
- Address
-
1413 W VOTAW STPORTLAND, IN, 473719501Browse IN providers · Browse ZIP 47371
- Phone
- 2607267822
- Fax
- 2607263513
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in PORTLAND, IN
| Name | Credential | NPI |
|---|---|---|
| DR. THOMAS EDWIN DUNN II | D.D.S. | 1639209075 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.