Organization
BANKHEAD ALTON ORTHODONTICS PC
Active
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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