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 provides 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 Not confirmed with CMS for 18 years — call before visiting
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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