Individual
DR. BRENT DEE BANKHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
2990 HIGHWAY K, O FALLON, MO 63368-7861
(636) 978-4484
(636) 978-0240
Mailing address
12101 SUTTON PLACE CT, SAINT LOUIS, MO 63128-2180
(314) 843-0439
(636) 978-0240
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
015876
MO
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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