Organization
BANKHEAD DDS WARRENTON ORTHODONTICS PC
Active
Parent organization
BANKHEAD DDS ORTHODONTICS PC
Other names
Warrenton Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANKHEAD DDS ORTHODONTICS PC
Authorized official
DR. BRENT DEE BANKHEAD DDS, MS (PRESIDENT)
(636) 978-8848
Entity
Organization
Contact information
Practice address
511 ASHLAND AVE, WARRENTON, MO 63383-1065
(636) 456-3770
(636) 456-3779
Mailing address
511 ASHLAND AVE, WARRENTON, MO 63383-1065
(636) 456-3770
(636) 456-3779
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
015876
MO
Other
Enumeration date
01/16/2009
Last updated
01/16/2009
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