Bradley W Roberts Dmd PC

NPI #1396899878 in Alton, Illinois

Provider Information

NPI Number: 1396899878
Entity Type: Organization
Organization Name: Bradley W Roberts Dmd PC
Primary Specialty: Oral & Maxillofacial Surgery
Enumeration Date: Jan 22, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 4 PROFESSIONAL DRIVE
City: Alton
State: Illinois
ZIP Code: 62002
Phone: (618) 465-9000

Authorized Official

Name: DR. BRADLEY WANE ROBERTS, DMD
Title: PRESIDENT
Phone: (618) 465-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Oral & Maxillofacial Surgery	204E00000X	Primary

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