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Thomas M. Banta, D.d.s., Pc
General Practice Dentistry in Portland, Indiana
NPI 1790409092

Thomas M. Banta, D.d.s., Pc is a General Practice Dentistry based in Portland, IN and is specialized in General Practice. Thomas M. Banta, D.d.s., Pc practices in Portland, IN. The NPI Number for Thomas M. Banta, D.d.s., Pc is 1790409092 and holds a License No. (Indiana).

The current practice location address for Thomas M. Banta, D.d.s., Pc is 1413 W Votaw St, Portland, IN and can be reached out via phone at 260-726-7822.

Location: 1413 W Votaw St, Portland, IN, 47371-9501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790409092
Provider Name
Thomas M. Banta, D.d.s., Pc
Credential
Provider Entity Type
Organization
Address
1413 W Votaw St, Portland, IN, 47371-9501
Phone Number
260-726-7822
Fax Number
Provider Enumeration Date
09/29/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1407835382 05 IN
institution
Provider Business Practice Location Address Details
Address
1413 W Votaw St
City
Portland
State
Indiana
Zip
47371-9501
Phone Number
260-726-7822
Fax Number
person
Provider Business Mailing Address Details
Address
1413 W Votaw St
City
Portland
State
Indiana
Zip
47371-9501
Phone Number
260-726-7822
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
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Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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