OrganizationActive
Banstola
NPI 1114685740 · Dental Clinic/Center · Tucker, GA
Provider details
- NPI number
- 1114685740
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Basu Banstola, Owner Dentist(770) 934-1698
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2315 Brockett Rd
Tucker, GA 30084-4412
Phone: (770) 934-1698
Street-level locationGet directions
Mailing address
Po Box 2635
Tucker, GA 30085-2635
Registry dates
- Enumerated
- 2021-12-01
- Last updated
- 2021-12-01
- Certified
- 2021-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.