Susan Kay Banta in Wilmington - Periodontics

Susan Kay Banta - NPI 1528275799

Susan Kay Banta is a Periodontics in Wilmington, North Carolina. Susan Kay Banta practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Susan Kay Banta is 1528275799. The last update date is 2007-07-08.

Susan Kay Banta's current location address is 1611 Doctors Circle, Wilmington, North Carolina. You can contact this provider via phone number 9107729770 and fax number 9107721553. The mailing address for Susan Kay Banta is 1611 Doctors Circle, Wilmington, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Kay Banta
Address 1611 Doctors Circle, Wilmington, North Carolina
Phone Number 9107729770
Fax Number 9107721553
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1528275799
Provider Enumeration Date 2007-05-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1611 Doctors Circle
City Wilmington
State North Carolina (NC)
Post Code 28401
Phone Number 9107729770
Fax Number 9107721553

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 5375
Definition:
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 structure

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FAQs about Susan Kay Banta

What is the unique identification code assigned to Susan Kay Banta by the Centers for Medicare & Medicaid Services?

The Susan Kay Banta has been issued the NPI (National Provider Identifier) 1528275799. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Susan Kay Banta is located?

The Susan Kay Banta is situated at the following address: 1611 Doctors Circle, Wilmington, NC, 28401.

What is Susan Kay Banta's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Susan Kay Banta is Periodontics, and the taxonomy code that classifies this field of practice is 1223P0300X.

On what date did the Centers for Medicare & Medicaid Services issue the 1528275799 to Susan Kay Banta?

The Susan Kay Banta received its 1528275799 assignment from the Centers for Medicare & Medicaid Services on 2007-05-17.

When was the Susan Kay Banta's information last updated?

The Susan Kay Banta's information was last updated on 2007-07-08.

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