BANSTOLA
NPI 1114685740
Clinic/Center - Dental in Tucker, GA

Active since December 01, 2021
2315 BROCKETT RD, TUCKER, GA 30084(770) 934-1698 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Banstola NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BANSTOLA (NPI 1114685740) is a healthcare organization registered as a dental in Tucker, Georgia and active in the NPI registry since December 2021. The organization lists Basu Banstola, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1114685740
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBANSTOLA
Location Address2315 BROCKETT RDTucker, GA 30084-4412
Mailing AddressPo Box 2635Tucker, GA 30085-2635
Organization SubpartNo
Authorized OfficialBasu BanstolaOwner Dentist · (770) 934-1698
Enumeration DateDecember 1, 2021
NPPES CertifiedDecember 1, 2021
NPI 1114685740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2315 BROCKETT RD, Tucker, GA 30084

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
2315 BROCKETT RD
TUCKER, GA 30084
Dentist (General Practice)
2315 BROCKETT RD
TUCKER, GA 30084
Dentist
2315 BROCKETT RD
TUCKER, GA 30084

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Banstola's NPI number?

The NPI number for Banstola is 1114685740. It was assigned to this organization in the NPPES registry on December 1, 2021.

Where is Banstola located?

Banstola is located at 2315 Brockett Rd, Tucker, GA 30084. The listed phone number is (770) 934-1698.

What is Banstola's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Banstola was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.