Bradley W Roberts Dmd Pc in Alton - Oral & Maxillofacial Surgery
Bradley W Roberts Dmd Pc - NPI 1396899878
Bradley W Roberts Dmd Pc is a Oral & Maxillofacial Surgery in Alton, Illinois. Bradley W Roberts Dmd Pc practices all healthcare services and medical treatments related to Oral & Maxillofacial Surgery. The NPI Number for Bradley W Roberts Dmd Pc is 1396899878. The last update date is 2020-08-22.
Bradley W Roberts Dmd Pc's current location address is 4 Professional Drive, Alton, Illinois. You can contact this provider via phone number 6184659000. The mailing address for Bradley W Roberts Dmd Pc is 4 Professional Drive, Alton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bradley W Roberts Dmd Pc |
|---|---|
| Address | 4 Professional Drive, Alton, Illinois |
| Phone Number | 6184659000 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Roberts Wane Bradley |
| Credentials | DMD |
| Telephone Number | 6184659000 |
NPI Number Detail
| NPI Number | 1396899878 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4 Professional Drive |
|---|---|
| City | Alton |
| State | Illinois (IL) |
| Post Code | 62002 |
| Phone Number | 6184659000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral & Maxillofacial Surgery |
|---|---|
| Taxonomy | 204E00000X |
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Definition: Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer |
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What is the unique identification code assigned to Bradley W Roberts Dmd Pc by the Centers for Medicare & Medicaid Services?
The Bradley W Roberts Dmd Pc has been issued the NPI (National Provider Identifier) 1396899878. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Bradley W Roberts Dmd Pc?
The Bradley W Roberts Dmd Pc is situated at 4 Professional Drive, in the city of Alton, state of IL, with the zip code 62002.
What is Bradley W Roberts Dmd Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bradley W Roberts Dmd Pc's specialized field of practice is Oral & Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 204E00000X.
On what date did the Bradley W Roberts Dmd Pc receive the assignment of its 1396899878 from the Centers for Medicare & Medicaid Services?
The Bradley W Roberts Dmd Pc was issued its 1396899878 by the Centers for Medicare & Medicaid Services on 2007-01-22.
When was the Bradley W Roberts Dmd Pc's information last updated?
The Bradley W Roberts Dmd Pc's information was last updated on 2020-08-22.
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