Organization · Type 2 NPI

Bankhead Alton Orthodontics PC

Orthodontics and Dentofacial Orthopedics Dentistry · Alton, IL

NPI number 1740812494 Active

Practice location

2828 Homer Adams Pkwy
Alton, IL 62002-4855

Call (618) 465-7423 Map

Mailing address

3006 Highway K
O Fallon, MO 63368-8675

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	None listed

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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NPI record

NPI: 1740812494
Entity type: Organization (Type 2)
Issued: Feb 11, 2020
Last updated: Jul 27, 2020
Status: Active
Subpart: Yes of Bankhead Orthodontics DDS PC

Other names

<unavail>
Heintz and Bankhead Orthodontics · doing business as
Heintz and Bankhead Orthodontics · doing business as

Authorized official

Mrs. Andrea Rose Reitmeyer
Practice Administrator
(636) 734-7876

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1740812494

Bankhead Alton Orthodontics PC's National Provider Identifier is 1740812494, issued on Feb 11, 2020. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Alton, IL. The record was last updated on Jul 27, 2020.