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Organization

BANKHEAD ORTHODONTICS DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRENT DEE BANKHEAD DDS,MS (DOCTOR)
(636) 978-8848
Entity
Organization

Contact information

Practice address
2990 HWY Y, OFALLON, MO 63368
(636) 978-8848
(636) 978-0240
Mailing address
2990 HWY K, OFALLON, MO 63368
(636) 978-8848
(636) 978-0240

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
015876
MO

Other

Enumeration date
05/22/2007
Last updated
08/22/2020
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