Organization
BANKHEAD ALTON ORTHODONTICS PC
Active
Parent organization
BANKHEAD ORTHODONTICS DDS PC
Other names
Heintz and Bankhead Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANKHEAD ORTHODONTICS DDS PC
Authorized official
MRS. ANDREA ROSE REITMEYER (PRACTICE ADMINISTRATOR)
(636) 734-7876
Entity
Organization
Contact information
Practice address
2828 HOMER ADAMS PKWY, ALTON, IL 62002-4855
(618) 465-7423
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
07/27/2020
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