| Thomas M. Banta, D.d.s., Pc | |
|
1413 W Votaw St Portland IN 47371-9501 | |
| (260) 726-7822 | |
| Not Available |
| Full Name | Thomas M. Banta, D.d.s., Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1413 W Votaw St, Portland, Indiana |
| Authorized Official Name and Position | Thomas M. Banta (OWNER) |
| Authorized Official Contact | 2607267822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas M. Banta, D.d.s., Pc 1413 W Votaw St Portland IN 47371-9501 Ph: (260) 726-7822 | Thomas M. Banta, D.d.s., Pc 1413 W Votaw St Portland IN 47371-9501 Ph: (260) 726-7822 |
| NPI Number | 1790409092 |
|---|---|
| Provider Enumeration Date | 09/29/2022 |
| Last Update Date | 09/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790409092 | NPI | - | NPPES |
| 1407835382 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
John Cascio, D.d.s., Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 W North St, Portland, IN 47371 Phone: 260-726-7006 | |
Malcolm C. George, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 N Ship St, Portland, IN 47371 Phone: 260-726-4710 Fax: 260-726-7051 | |
C. H. Miller, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 N Ship St, Portland, IN 47371 Phone: 260-726-4710 | |
Dunn Family Dental Care Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 W North St, Portland, IN 47371 Phone: 260-726-8007 Fax: 260-726-2505 | |
Vormohr Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1413 W Votaw St, Portland, IN 47371 Phone: 260-726-7822 | |
The Portland Dental Place Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 N Ship St, Portland, IN 47371 Phone: 260-726-4710 Fax: 260-726-7051 |