Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Orthodontic Associates of Columbia and Waterloo

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1952729279

Orthodontic Associates of Columbia and Waterloo is an 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 B
Waterloo, IL 62298
Phone: (618) 939-7070
Show map & directions

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 number1952729279
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brent Bankhead — Dr. · (618) 281-7979
NPI enumeratedApril 3, 2014
Last updated in NPPESApril 3, 2014
Mailing address224 Bradford Ln Ste B, Waterloo, IL 62298-3369

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