IndividualActive
Bradley Roberts, D.M.D.
NPI 1497074025 · Oral and Maxillofacial Surgery (Dentist) · Alton, IL
Provider details
- NPI number
- 1497074025
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 019019769 (IL)
Specialties & taxonomies
Dental Providers
Practice location
4 Professional Dr
Alton, IL 62002-5067
Phone: (618) 465-9000
Approximate (ZIP-level) locationGet directions
Mailing address
4 Professional Dr
Alton, IL 62002-5067
Registry dates
- Enumerated
- 2010-05-21
- Last updated
- 2010-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.