| Bankhead Dds Orthodontics Dds Pc | |
|
8631 State Highway N Lake St. Louis MO 63367 | |
| (636) 226-1050 | |
| (636) 898-2001 |
| Full Name | Bankhead Dds Orthodontics Dds Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 8631 State Highway N, Lake St. Louis, Missouri |
| Authorized Official Name and Position | Darren Mckay Rodaborugh (OWNER) |
| Authorized Official Contact | 6369788848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bankhead Dds Orthodontics Dds Pc 3006 Hwy K O'fallon MO 63368 Ph: (636) 978-8848 | Bankhead Dds Orthodontics Dds Pc 8631 State Highway N Lake St. Louis MO 63367 Ph: (636) 226-1050 |
| NPI Number | 1184467433 |
|---|---|
| Provider Enumeration Date | 06/14/2024 |
| Last Update Date | 06/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184467433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Hawk Ridge Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8631 Highway N, Lake St. Louis, MO 63367 Phone: 636-561-4540 Fax: 636-561-4601 |