Organization
BANKHEAD ALTON ORTHODONTICS PC
Active
Other names
Heintz and Bankhead Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA RITEMEYER (ADMINISTRATOR)
(636) 978-8848
Entity
Organization
Contact information
Practice address
910 W MAIN ST, CARLINVILLE, IL 62626-1200
(217) 854-7423
Mailing address
3006 HIGHWAY K, O FALLON, MO 63368-8675
(636) 734-7876
(636) 898-2001
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
07/23/2020
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