| Dr Thomas M Banta, DDS | |
|
1413 W Votaw St, Portland, IN 47371-9501 | |
| (260) 726-7822 | |
| (260) 726-3513 |
| Full Name | Dr Thomas M Banta |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 1413 W Votaw St, Portland, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407835382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8772 (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas M Banta, DDS 2786 S Butternut Creek Dr, Portland, IN 47371-8740 Ph: (260) 726-7822 | Dr Thomas M Banta, DDS 1413 W Votaw St, Portland, IN 47371-9501 Ph: (260) 726-7822 |
Dr. Mark Weiler Tatman, DDS Dentist Medicare: Medicare Enrolled Practice Location: 110 W North St, Portland, IN 47371 Phone: 260-726-7006 Fax: 260-726-7006 | |
Dr. Malcolm Christian George, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 112 N Ship St, Portland, IN 47371 Phone: 260-726-4710 Fax: 260-726-7051 | |
Dr. Thomas Edwin Dunn Ii, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 110 W North St, Portland, IN 47371 Phone: 260-726-8007 Fax: 260-726-2505 |