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

Dr. Mark Willam Bantz, DDS

Individual provider General Practice Dentistry · NPI 1699919183

Dr. Mark Willam Bantz, DDS is a General Practice Dentistry in South Bend, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2009
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

820 E Colfax Ave
South Bend, IN 46617-2804
Phone: (574) 234-4117
Fax: (574) 289-3631
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 7086 (IN)

Record details

NPI number1699919183
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 28, 2009
Last updated in NPPESApril 28, 2009
Mailing address820 E Colfax Ave, South Bend, IN 46617-2804

Other providers in South Bend