Organization · Type 2 NPI
Susan Kay Banta DDS MS PA
Periodontics · Wilmington, NC
NPI number
1124181110
Active
Practice location
1611 Doctors Circle
Wilmington, NC 28401
Fax (910) 772-1553
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | None listed |
Periodontics: 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.
2 other providers at this address
Other periodontics providers in Wilmington
About NPI 1124181110
Susan Kay Banta DDS MS PA's National Provider Identifier is 1124181110, issued on Dec 19, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Wilmington, NC. The record was last updated on Dec 17, 2007.