OrganizationActive
Susan Kay Banta DDS Ms PA
NPI 1124181110 · Periodontics · Wilmington, NC
Susan Kay Banta DDS Ms PA is a Periodontics organization in Wilmington, NC (NPI 1124181110).
Provider details
- NPI number
- 1124181110
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Susan Banta, President(910) 772-9770
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1611 Doctors Circle
Wilmington, NC 28401
Phone: (910) 772-9770
Fax: (910) 772-1553
Street-level locationGet directions
Mailing address
1611 Doctors Circle
Wilmington, NC 28401
Registry dates
- Enumerated
- 2006-12-19
- Last updated
- 2007-12-17
Frequently asked questions
- What is Susan Kay Banta DDS Ms PA's NPI number?
- Susan Kay Banta DDS Ms PA's National Provider Identifier (NPI) is 1124181110, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Susan Kay Banta DDS Ms PA?
- Susan Kay Banta DDS Ms PA is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Susan Kay Banta DDS Ms PA located?
- Susan Kay Banta DDS Ms PA's practice location on file with NPPES is 1611 Doctors Circle, Wilmington, NC 28401.
- What is Susan Kay Banta DDS Ms PA's phone number?
- The practice phone number listed in the NPPES registry for Susan Kay Banta DDS Ms PA is (910) 772-9770.
- Who is the authorized official for Susan Kay Banta DDS Ms PA?
- The authorized official listed on Susan Kay Banta DDS Ms PA's NPPES record is Susan Banta, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Susan Kay Banta DDS Ms PA's NPI active?
- Yes — Susan Kay Banta DDS Ms PA's NPI (1124181110) is active in the NPPES registry as of the last update on 2007-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.