Search › Indiana › 1223G0001X
Mark Bantz, DDS
NPI 1699919183 · on the registry since 2009 · sole proprietor
Practice
- Address
- 820 E Colfax Ave
South Bend, IN 46617 - Phone
- (574) 234-4117
- Fax
- (574) 289-3631
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-04-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana