ORTHODONTIC ASSOCIATES OF COLUMBIA AND WATERLOO
NPI 1295153641
Dentist - Orthodontics and Dentofacial Orthopedics in Columbia, IL

Active since April 02, 2014
1060 ADMIRAL WEINEL BLVD, COLUMBIA, IL 62236(618) 281-3399 Get Directions Write a Review

NPPES record last updated: April 2, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Orthodontic Associates Of Columbia And Waterloo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORTHODONTIC ASSOCIATES OF COLUMBIA AND WATERLOO (NPI 1295153641) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Columbia, Illinois and active in the NPI registry since April 2014. The organization lists Brent Dee Bankhead, Dr., as its authorized official.

NPPES Registry Identity

NPI1295153641
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameORTHODONTIC ASSOCIATES OF COLUMBIA AND WATERLOO
Location Address1060 ADMIRAL WEINEL BLVDColumbia, IL 62236-1988
Mailing Address1060 Admiral Weinel BlvdColumbia, IL 62236-1988 · (618) 281-3399
Organization SubpartNo
Authorized OfficialBrent Dee BankheadDr. · (618) 281-3399
Enumeration DateApril 2, 2014
NPI 1295153641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in IL · 019025290
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
1060 ADMIRAL WEINEL BLVD, Columbia, IL 62236

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
1060 ADMIRAL WEINEL BLVD
COLUMBIA, IL 62236

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Orthodontic Associates Of Columbia And Waterloo's NPI number?

The NPI number for Orthodontic Associates Of Columbia And Waterloo is 1295153641. It was assigned to this organization in the NPPES registry on April 2, 2014.

Where is Orthodontic Associates Of Columbia And Waterloo located?

Orthodontic Associates Of Columbia And Waterloo is located at 1060 Admiral Weinel Blvd, Columbia, IL 62236. The listed phone number is (618) 281-3399.

What is Orthodontic Associates Of Columbia And Waterloo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Orthodontic Associates Of Columbia And Waterloo was last updated on April 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.