Individual provider · Type 1 NPI
Bradley Wane Roberts, DMD
Oral and Maxillofacial Surgery (Dentist) · Alton, IL
NPI number
1497074025
Active
Practice location
4 Professional Dr
Alton, IL 62002-5067
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 019019769 (IL) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Other oral and maxillofacial surgery (dentist) providers in Alton
- Randall J. Crammond, DMDOral and Maxillofacial Surgery (Dentist) Alton, IL NPI 1215063573
- Arthur Joseph Misischia, DMDOral and Maxillofacial Surgery (Dentist) Alton, IL NPI 1447468947
- Benjamin Jacob Schlott, D.M.D, MDOral and Maxillofacial Surgery (Dentist) Alton, IL NPI 1891938296
- Ioannis Gkikas, DDSOral and Maxillofacial Surgery (Dentist) Alton, IL NPI 1912530924
About NPI 1497074025
Bradley Wane Roberts, DMD's National Provider Identifier is 1497074025, issued on May 21, 2010. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Alton, IL. The record was last updated on May 21, 2010.