Individual provider · Type 1 NPI
Thomas M. Banta, DDS
General Practice Dentistry · Portland, IN
NPI number
1407835382
Active
Practice location
1413 W Votaw St
Portland, IN 47371-9501
Fax (260) 726-3513
Mailing address
2786 S Butternut Creek Dr
Portland, IN 47371-8740
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 8772 (IN) |
General Practice Dentistry: 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.
2 other providers at this address
Other general practice dentistry providers in Portland
About NPI 1407835382
Thomas M. Banta, DDS's National Provider Identifier is 1407835382, issued on Jan 10, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Portland, IN. The record was last updated on Jul 13, 2026.