| Orthodontic Associates Of Columbia And Waterloo | |
|
224 Bradford Lane Suite B Waterloo IL 62298 | |
| (618) 939-7070 | |
| Not Available |
| Full Name | Orthodontic Associates Of Columbia And Waterloo |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 224 Bradford Lane Suite B, Waterloo, Illinois |
| Authorized Official Name and Position | Brent Dee Bankhead (DR.) |
| Authorized Official Contact | 6182817979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orthodontic Associates Of Columbia And Waterloo 224 Bradford Ln Ste B Waterloo IL 62298-3369 Ph: (618) 281-7979 | Orthodontic Associates Of Columbia And Waterloo 224 Bradford Lane Suite B Waterloo IL 62298 Ph: (618) 939-7070 |
| NPI Number | 1952729279 |
|---|---|
| Provider Enumeration Date | 04/03/2014 |
| Last Update Date | 04/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952729279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 019025290 (Illinois) | Primary |
Dr Darryll L Beard Dmd Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 Bradford Lane, Waterloo, IL 62298 Phone: 618-939-7181 Fax: 618-939-4500 | |
Dr John F Blattner & Dr. Dwight D Heberer Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 226 Westview Plaza Dr., Waterloo, IL 62298 Phone: 618-939-4042 Fax: 618-939-5404 | |
Dr John F Blattner & Dr Dwight D Heberer Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 226 Westview Plaza Dr, Waterloo, IL 62298 Phone: 618-939-4042 | |
Hentscher-johnson Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 E Mill St, Waterloo, IL 62298 Phone: 618-939-2900 Fax: 888-908-5295 |