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NPI 1902829161

IndividualActive

Brad Roehl, DMD

NPI 1902829161 · Pediatric Dentistry · Jonesboro, GA

Provider details

NPI number: 1902829161
Entity type: Individual
Primary specialty: Pediatric DentistryDental Providers
Credential: DMD
Sex: Male
Sole proprietor: No
License: DN012958 (GA)

Practice location

435 Arrowhead Blvd

Jonesboro, GA 30236-1219

Phone: (770) 478-8400

Fax: (770) 473-8766

More GA providers

Mailing address

295 Country Club Dr

Stockbridge, GA 30281-7350

Registry dates

Enumerated: 2006-07-26
Last updated: 2012-08-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Brad Roehl, DMD — NPI 1902829161, Jonesboro, GA | NPI Central