Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Banstola

Organization Dental Clinic/Center · NPI 1114685740

Banstola is a Dental Clinic/Center in Tucker, Georgia. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

2315 Brockett Rd
Tucker, GA 30084-4412
Phone: (770) 934-1698
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1114685740
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Basu Banstola — Owner Dentist · (770) 934-1698
NPI enumeratedDecember 1, 2021
Last updated in NPPESDecember 1, 2021
Certification dateDecember 1, 2021
Mailing addressPo Box 2635, Tucker, GA 30085-2635

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