DR. MARK WILLAM BANTZ DDS
NPI 1699919183
Dentist - General Practice in South Bend, IN

Q: What is Mark Bantz's NPI number?

The NPI number for Mark Bantz is 1699919183. It was assigned to this individual provider in the NPPES registry on April 28, 2009.

Q: What is Mark Bantz's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Mark Bantz was last updated on April 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since April 28, 2009

820 E COLFAX AVE, SOUTH BEND, IN 46617(574) 234-4117(574) 289-3631 Get Directions Write a Review

NPPES record last updated: April 28, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Mark Willam Bantz Dds NPPES

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

DR. MARK WILLAM BANTZ DDS (NPI 1699919183) is an individual general practice provider in South Bend, Indiana, licensed in Indiana (7086) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1699919183

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MARK WILLAM BANTZCredential: DDS

Location Address820 E COLFAX AVESouth Bend, IN 46617-2804

Mailing Address820 E Colfax AveSouth Bend, IN 46617-2804 · (574) 234-4117 · Fax (574) 289-3631

Phone(574) 234-4117

Fax(574) 289-3631

Sole ProprietorYes

Enumeration DateApril 28, 2009

✔ NPI 1699919183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IN · 7086

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.

820 E COLFAX AVE, South Bend, IN 46617

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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.

CHRISTOPHER CONROY DDS

Dentist (General Practice)

820 E COLFAX AVE
SOUTH BEND, IN 46617

St. Joseph County (574) 232-2992

DR. JAMES ALVIN DOUGLAS D.D.S.

Dentist (General Practice)

820 E COLFAX AVE
SOUTH BEND, IN 46617

St. Joseph County (574) 289-5776

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 Mark Bantz's NPI number?

The NPI number for Mark Bantz is 1699919183. It was assigned to this individual provider in the NPPES registry on April 28, 2009.

Where is Mark Bantz located?

Mark Bantz practices at 820 E Colfax Ave, South Bend, IN 46617. The listed phone number is (574) 234-4117.

What is Mark Bantz's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Mark Bantz was last updated on April 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.