person
Brad Warren Roehl, DMD
Pediatric Dentist in Jonesboro, Georgia
NPI 1902829161

Brad Warren Roehl is a Pediatric Dentist based in Stockbridge, GA and is specialized in Pediatric Dentistry. Brad Warren Roehl practices in Jonesboro, GA and has the professional credentials of DMD. The NPI Number for Brad Warren Roehl is 1902829161 and holds a License No. DN012958 (Georgia).

The current practice location address for Brad Warren Roehl is 435 Arrowhead Blvd, Jonesboro, GA and can be reached out via phone at 770-478-8400 and via fax at 770-473-8766. You can also correspond with Brad Warren Roehl through the mailing address at 295 COUNTRY CLUB DR, STOCKBRIDGE, GA - 30281-7350 (mailing address contact number: 770-473-1350).

Location: 435 Arrowhead Blvd, Jonesboro, GA, 30281-7350
person
Provider Profile Details
NPI Number
1902829161
Provider Name
Brad Warren Roehl
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
435 Arrowhead Blvd, Jonesboro, GA, 30281-7350
Phone Number
770-478-8400
Fax Number
770-473-8766
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
280155184B 05 GA
institution
Provider Business Practice Location Address Details
Address
435 Arrowhead Blvd
City
State
Zip
30236-1219
Phone Number
770-478-8400
Fax Number
770-473-8766
person
Provider Business Mailing Address Details
Address
435 Arrowhead Blvd
City
State
Zip
30236-1219
Phone Number
770-478-8400
Fax Number
770-473-8766
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
DN012958 (Georgia)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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