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

DR. BASU BANSTOLA

Active

DR. BASU BANSTOLA is a Dentist healthcare provider located in TUCKER, Georgia. NPI 1891197810 is currently active in the NPPES registry. Verify at CMS.

Dentist · TUCKER, GA

Registration Details

NPI Number
1891197810
Provider Type
Individual
Gender
Male
NPI Issued
Sep 22, 2014 (11.930580526777 yrs)
Last Updated
Dec 1, 2021
License
DS040169 (PA)

Practice Information

Address
2315 BROCKETT RD
TUCKER, GA, 300844412
Browse GA providers · Browse ZIP 30084
Phone
7709341698
Primary Specialty
Dentist
122300000X

Other Dentist Providers in TUCKER, GA

Name Credential NPI
PAUL C HANNA D.D.S., P.C. 1770501827
DR. MEENA HARSHAD MEHTA DDS 1497763395
NORMAN DAVID BUSCH DDS 1225129265
DR. RAYMOND GORDON JOHNSON JR. DDS 1831272376
MR. ERIC TALIAFERRO WASHINGTON DDS 1558493882
DR. JAMES A GRANADE III D.M.D 1689799819
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.