Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891197810 Individual Practitioner Male Practitioner

Basu Banstola

Dentist • Tucker, GA

Professional Overview & Biography Verified Profile Summary

Basu Banstola is a registered healthcare professional specializing in Dentist in Tucker, GA. Practice services are available at 2315 BROCKETT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2315 Brockett Rd

Tucker, GA 300844412

Telephone 7709341698
Associated Practice Facility / Clinic
🏢 Gary L Heller, Dds, Pc Facility NPI 1659453009

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Tucker, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
18 Specialists

Practicing in Tucker, GA (2164 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-12-01
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License PA DS040169

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Gary Heller , DDS

Dentist - General Practice

NPI 1518048933

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location December 01, 2021

Registered at 2315 BROCKETT RD, TUCKER, GA 300844412 (Tel: 7709341698)

📍
Updated Business Mailing Address December 01, 2021

Registered at PO BOX 2635, TUCKER, GA 300852635 (Tel: 4047042088)

NPI Profile Active September 22, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location September 22, 2014

Registered at 3440 OHIO ST, GREAT LAKES, IL 600883155 (Tel: 8476882100)

📍
Updated Business Mailing Address September 22, 2014

Registered at 3001 GREEN BAY RD, NORTH CHICAGO, IL 600643048 (Tel: 8476882100)

👤
Provider Name / Credentials Updated September 22, 2014

Recorded as BASU BANSTOLA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2014

Dentist (License #DS040169 in PA)

🟢
Initial NPI Registration & Enumeration September 22, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891197810
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2014
Last Update: December 01, 2021
Sole Proprietor: No

Mailing Address

Po Box 2635

Tucker, GA 300852635

Phone: 4047042088

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.