Columbia Orthodontics

NPI #1962526277 in Columbia, Illinois

Provider Information

NPI Number
1962526277
Entity Type
Organization
Organization Name
Columbia Orthodontics
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Mar 19, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
1060 ADMIRAL WEINEL BLVD
ZIP Code
62236-1988
Phone
(618) 281-3399

Authorized Official

Name
DR. BRENT DEE BANKHEAD, DDS, MS
Title
DOCTOR
Phone
(618) 281-3399

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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