Brent Dee Bankhead in O Fallon - Orthodontics And Dentofacial Orthopedics

Brent Dee Bankhead - NPI 1609917905

Brent Dee Bankhead is a Orthodontics And Dentofacial Orthopedics in O Fallon, Missouri. Brent Dee Bankhead practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Brent Dee Bankhead is 1609917905. The last update date is 2007-07-08.

Brent Dee Bankhead's current location address is 2990 Highway K, O Fallon, Missouri. You can contact this provider via phone number 6369784484 and fax number 6369780240. The mailing address for Brent Dee Bankhead is 2990 Highway K, O Fallon, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Brent Dee Bankhead
Address 2990 Highway K, O Fallon, Missouri
Phone Number 6369784484
Fax Number 6369780240
Sole Proprietor Y
Credentials DDS, MS

NPI Number Detail

NPI Number 1609917905
Provider Enumeration Date 2007-02-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2990 Highway K
City O Fallon
State Missouri (MO)
Post Code 633687861
Phone Number 6369784484
Fax Number 6369780240

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 15876
Definition:
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 rel

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FAQs about Brent Dee Bankhead

What is the unique identification code assigned to Brent Dee Bankhead by the Centers for Medicare & Medicaid Services?

The Brent Dee Bankhead has been issued the NPI (National Provider Identifier) 1609917905. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Brent Dee Bankhead is physically located?

The Brent Dee Bankhead is situated at the following address: 2990 Highway K, O Fallon, MO 633687861.

What is Brent Dee Bankhead's specialized field of practice, and what is the corresponding taxonomy classification code?

The Brent Dee Bankhead's area of specialization is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this field of practice is 1223X0400X.

When did Brent Dee Bankhead receive its 1609917905 assignment?

The Brent Dee Bankhead was assigned its 1609917905 on 2007-02-09, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Brent Dee Bankhead most recently updated or revised?

The details related to Brent Dee Bankhead, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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