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Dr. Bradley Wane Roberts, DMD
Oral and Maxillofacial Surgery (Dentist) in Alton, Illinois
NPI 1497074025

Bradley Wane Roberts is a Oral and Maxillofacial Surgery (Dentist) based in Alton, IL and is specialized in Oral and Maxillofacial Surgery. Bradley Wane Roberts practices in Alton, IL and has the professional credentials of DMD. The NPI Number for Bradley Wane Roberts is 1497074025 and holds a License No. 019019769 (Illinois).

The current practice location address for Bradley Wane Roberts is 4 Professional Dr, Alton, IL and can be reached out via phone at 618-465-9000.

Location: 4 Professional Dr, Alton, IL, 62002-5067
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497074025
Provider Name
Bradley Wane Roberts
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
4 Professional Dr, Alton, IL, 62002-5067
Phone Number
618-465-9000
Fax Number
Provider Enumeration Date
05/21/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4 Professional Dr
City
Alton
State
Illinois
Zip
62002-5067
Phone Number
618-465-9000
Fax Number
person
Provider Business Mailing Address Details
Address
4 Professional Dr
City
Alton
State
Illinois
Zip
62002-5067
Phone Number
618-465-9000
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
019019769 (Illinois)
Definition
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.
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