Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
THOMAS M. BANTA, D.D.S., PC
Active
Organization
THOMAS M. BANTA, D.D.S., PC
Active
Other names
Thomas M. Banta, D.D.S., PC
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS M. BANTA (OWNER)
(260) 726-7822
Entity
Organization
Contact information
Practice address
1413 W VOTAW ST, PORTLAND, IN 47371-9501
(260) 726-7822
Mailing address
1413 W VOTAW ST, PORTLAND, IN 47371-9501
(260) 726-7822
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407835382
—
IN
Enumeration date
09/29/2022
Last updated
09/29/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers