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THOMAS M. BANTA, D.D.S., PC
NPI 1790409092
Dentist - General Practice in Portland, IN

Active since September 29, 2022
1413 W VOTAW ST, PORTLAND, IN 47371(260) 726-7822 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thomas M. Banta, D.d.s., Pc NPPES

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

THOMAS M. BANTA, D.D.S., PC (NPI 1790409092) is a healthcare organization registered as a general practice in Portland, Indiana and active in the NPI registry since September 2022. The organization lists Thomas M. Banta, Owner, as its authorized official.

NPPES Registry Identity

NPI1790409092
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTHOMAS M. BANTA, D.D.S., PC
Location Address1413 W VOTAW STPortland, IN 47371-9501
Mailing Address1413 W Votaw StPortland, IN 47371-9501 · (260) 726-7822
Phone(260) 726-7822
Organization SubpartNo
Authorized OfficialThomas M. BantaOwner · (260) 726-7822
Enumeration DateSeptember 29, 2022
NPPES CertifiedSeptember 29, 2022
✔ NPI 1790409092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
1413 W VOTAW ST, Portland, IN 47371
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Other Names 1

Doing Business AsThomas M. Banta, D.d.s., Pc

Other Identifiers 1

Medicaid1407835382IN

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.

DR. THOMAS M. BANTA D.D.S.
Dentist (General Practice)
1413 W VOTAW ST
PORTLAND, IN 47371
Jay County (260) 726-7822
VORMOHR FAMILY DENTISTRY LLC
Dentist (General Practice)
1413 W VOTAW ST
PORTLAND, IN 47371
Jay County (260) 726-7822

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 Thomas M. Banta, D.D.S., PC's NPI number?

The NPI number for Thomas M. Banta, D.D.S., PC is 1790409092. It was assigned to this organization in the NPPES registry on September 29, 2022.

Where is Thomas M. Banta, D.D.S., PC located?

Thomas M. Banta, D.D.S., PC is located at 1413 W Votaw St, Portland, IN 47371. The listed phone number is (260) 726-7822.

What is Thomas M. Banta, D.D.S., PC'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 Thomas M. Banta, D.D.S., PC was last updated on September 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.