Active NPI
Banks Tendercare Dental PC
- General Practice Dentistry
- Banks, OR
National Provider Identifier
1922924323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- BANKS TENDERCARE DENTAL PC
- Practice address
- 12350 NW Main St Ste 104
Banks, OR 97106-9045 - Phone
- (503) 747-3409
- NPI assigned
- Jun 29, 2026
- Last updated
- Aug 10, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Justin Marostica, DMD
- Title
- Dentist/Owner
- Phone
- (503) 858-0741
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
12350 NW Main St Ste 104
Banks, OR 97106-9045
Mailing address
12350 NW Main St Ste 104
Banks, OR 97106-9045
Phone (503) 747-3409
National Provider Directory
National Provider DirectoryLocations
12350 NW Main St
Ste 104
Banks, OR 97106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786320000000",
"number": "1922924323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12350 NW MAIN ST STE 104",
"city": "BANKS",
"state": "OR",
"postal_code": "971069045",
"telephone_number": "503-747-3409",
"fax_number": "503-352-4147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12350 NW MAIN ST STE 104",
"city": "BANKS",
"state": "OR",
"postal_code": "971069045",
"telephone_number": "503-747-3409"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BANKS TENDERCARE DENTAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-29",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A",
"authorized_official_last_name": "MAROSTICA",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "503-858-0741",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Banks, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.