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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THOMAS M. BANTA, D.D.S., PC

Active Organization

THOMAS M. BANTA, D.D.S., PC is a General Dentistry organization located in PORTLAND, Indiana. NPI 1790409092 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · PORTLAND, IN

Registration Details

NPI Number
1790409092
Provider Type
Organization
NPI Issued
Sep 29, 2022 (3.8882742413938 yrs)
Last Updated
Sep 29, 2022

Practice Information

Address
1413 W VOTAW ST
PORTLAND, IN, 473719501
Browse IN providers · Browse ZIP 47371
Phone
2607267822
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Organizations in PORTLAND, IN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.