| Bankhead Alton Orthodontics Pc | |
|
2828 Homer Adams Pkwy Alton IL 62002-4855 | |
| (618) 465-7423 | |
| Not Available |
| Full Name | Bankhead Alton Orthodontics Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2828 Homer Adams Pkwy, Alton, Illinois |
| Authorized Official Name and Position | Andrea Rose Reitmeyer (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 6367347876 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bankhead Alton Orthodontics Pc 3006 Highway K O Fallon MO 63368-8675 Ph: (636) 734-7876 | Bankhead Alton Orthodontics Pc 2828 Homer Adams Pkwy Alton IL 62002-4855 Ph: (618) 465-7423 |
| NPI Number | 1740812494 |
|---|---|
| Provider Enumeration Date | 02/11/2020 |
| Last Update Date | 07/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740812494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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