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

Susan Kay Banta DDS MS PA

Organization Periodontics · NPI 1124181110

Susan Kay Banta DDS MS PA is a Periodontics in Wilmington, North Carolina. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1611 Doctors Cir
Wilmington, NC 28401
Phone: (910) 772-9770
Fax: (910) 772-1553
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1124181110
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Banta — President · (910) 772-9770
NPI enumeratedDecember 19, 2006
Last updated in NPPESDecember 17, 2007
Mailing address1611 Doctors Circle, Wilmington, NC 28401

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