Organization
CHESTERFIELD-BANKHEAD DDS ORTHODONTICS PC
Active
Organization
CHESTERFIELD-BANKHEAD DDS ORTHODONTICS PC
Active
Other names
Chesterfield Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT DEE BANKHEAD DDS (PRESIDENT)
(636) 778-9345
Entity
Organization
Contact information
Practice address
4 WEST DR, SUITE 170, CHESTERFIELD, MO 63017-1793
(636) 778-9345
(636) 778-9347
Mailing address
4 WEST DR, SUITE 170, CHESTERFIELD, MO 63017-1793
(636) 778-9345
(636) 778-9347
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
015876
MO
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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