IndividualActive
Brent Bankhead, DDS, MS
NPI 1609917905 · Orthodontics and Dentofacial Orthopedics Dentistry · O Fallon, MO
Provider details
- NPI number
- 1609917905
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS, MS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 015876 (MO)
Specialties & taxonomies
Dental Providers
Practice location
2990 Highway K
O Fallon, MO 63368-7861
Phone: (636) 978-4484
Fax: (636) 978-0240
Approximate (ZIP-level) locationGet directions
Mailing address
12101 Sutton Place Ct
Saint Louis, MO 63128-2180
Registry dates
- Enumerated
- 2007-02-09
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.