Orthodontic Associates of Columbia and Waterloo
Orthodontic Associates of Columbia and Waterloo provides Orthodontics and Dentofacial Orthopedics Dentistry in Waterloo, Illinois. Licensed in Illinois. Registered with an NPI since 2014.
- Licensed in
- IL
- In the registry since
- 2014
Practice location Address checks out
224 Bradford Ln Ste BWaterloo, IL 62298 Not confirmed with CMS for 12 years — call before visiting
Phone: (618) 939-7070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthodontics and Dentofacial Orthopedics Dentistry (primary) | Taxonomy 1223X0400X · Licence 019025290 (IL) |
|---|
Record details
| NPI number | 1952729279 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brent Bankhead — Dr. · (618) 281-7979 |
| NPI enumerated | April 3, 2014 |
| Last updated in NPPES | April 3, 2014 |
| Mailing address | 224 Bradford Ln Ste B, Waterloo, IL 62298-3369 |
Other providers in Waterloo
-
Dr. Jodi Kay Hentscher-Johnson, DMD
200 E Mill St, Waterloo, IL 62298-1519 · (618) 939-2900