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BRADLEY W ROBERTS DMD PC
NPI 1396899878
Oral & Maxillofacial Surgery in Alton, IL

Active since January 22, 2007
4 PROFESSIONAL DRIVE, ALTON, IL 62002(618) 465-9000 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bradley W Roberts Dmd Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADLEY W ROBERTS DMD PC (NPI 1396899878) is a healthcare organization registered as an oral & maxillofacial surgery in Alton, Illinois and active in the NPI registry since January 2007. The organization lists Bradley Wane Roberts, President, as its authorized official.

NPPES Registry Identity

NPI1396899878
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameBRADLEY W ROBERTS DMD PC
Location Address4 PROFESSIONAL DRIVEAlton, IL 62002
Mailing Address4 Professional DriveAlton, IL 62002 · (618) 465-9000
Phone(618) 465-9000
Organization SubpartNo
Authorized OfficialBradley Wane RobertsPresident · (618) 465-9000
Enumeration DateJanuary 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1396899878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
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 anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
4 PROFESSIONAL DRIVE, Alton, IL 62002
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradley W Roberts Dmd PC's NPI number?

The NPI number for Bradley W Roberts Dmd PC is 1396899878. It was assigned to this organization in the NPPES registry on January 22, 2007.

Where is Bradley W Roberts Dmd PC located?

Bradley W Roberts Dmd PC is located at 4 Professional Drive, Alton, IL 62002. The listed phone number is (618) 465-9000.

What is Bradley W Roberts Dmd PC's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

When was this NPI record last updated?

The NPPES record for Bradley W Roberts Dmd PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.