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SUSAN KAY BANTA DDS MS PA
NPI 1124181110
Dentist - Periodontics in Wilmington, NC

Active since December 19, 2006
1611 DOCTORS CIRCLE, WILMINGTON, NC 28401(910) 772-9770(910) 772-1553 Get Directions Write a Review

NPPES record last updated: December 17, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan Kay Banta Dds Ms Pa NPPES

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

SUSAN KAY BANTA DDS MS PA (NPI 1124181110) is a healthcare organization registered as a periodontics in Wilmington, North Carolina and active in the NPI registry since December 2006. The organization lists Susan Kay Banta, President, as its authorized official.

NPPES Registry Identity

NPI1124181110
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameSUSAN KAY BANTA DDS MS PA
Location Address1611 DOCTORS CIRCLEWilmington, NC 28401
Mailing Address1611 Doctors CircleWilmington, NC 28401 · (910) 772-9770 · Fax (910) 772-1553
Phone(910) 772-9770
Fax(910) 772-1553
Organization SubpartNo
Authorized OfficialSusan Kay BantaPresident · (910) 772-9770
Enumeration DateDecember 19, 2006
Last NPPES UpdateDecember 17, 2007
✔ NPI 1124181110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1611 DOCTORS CIRCLE, Wilmington, NC 28401
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

LANCE H. HUTCHENS, D.D.S., M.S., P.A.
Clinic/Center (Dental)
1611 DOCTORS CIRCLE
WILMINGTON, NC 28401
New Hanover County (910) 772-9770
DR. SUSAN KAY BANTA
Dentist (Periodontics)
1611 DOCTORS CIRCLE
WILMINGTON, NC 28401
New Hanover County (910) 772-9770

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 Susan Kay Banta Dds Ms PA's NPI number?

The NPI number for Susan Kay Banta Dds Ms PA is 1124181110. It was assigned to this organization in the NPPES registry on December 19, 2006.

Where is Susan Kay Banta Dds Ms PA located?

Susan Kay Banta Dds Ms PA is located at 1611 Doctors Circle, Wilmington, NC 28401. The listed phone number is (910) 772-9770.

What is Susan Kay Banta Dds Ms PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Susan Kay Banta Dds Ms PA was last updated on December 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.