DR. Bradley Wane Roberts, D.M.D.

NPI #1497074025 in Alton, Illinois

Provider Information

NPI Number: 1497074025
Entity Type: Individual
Name: DR. Bradley Wane Roberts, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Credential: D.M.D.
Enumeration Date: May 21, 2010
Last Updated: May 21, 2010

Practice Location

Address: 4 PROFESSIONAL DR
City: Alton
State: Illinois
ZIP Code: 62002-5067
Phone: (618) 465-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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Organizations

Provider Name	Specialty	City
Crammond & Helden Ltd	Dentist - Oral and Maxillofacial Surgery	Alton	AI Deep Dive
Bi-State Oral and Facial Surgery, LLC	Dentist - Oral and Maxillofacial Surgery	Alton	AI Deep Dive

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