Dr Bradley Wane Roberts, DMD in Alton, IL - Dentist

Dr Bradley Wane Roberts, DMD is a Dentist - Oral And Maxillofacial Surgery based in Alton, Illinois. Dr Bradley Wane Roberts is licensed to practice in Illinois (license number 019019769) and his current practice location is 4 Professional Dr, Alton, Illinois. He can be reached at his office (for appointments etc.) via phone at (618) 465-9000.

NPI number for Dr Bradley Wane Roberts is 1497074025 and his current mailing address is 4 Professional Dr, Alton, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497074025.

Contact Information

	Dr Bradley Wane Roberts, DMD
	4 Professional Dr, Alton, IL 62002-5067
	(618) 465-9000
	Not Available

Healthcare Provider's Profile

Full Name	Dr Bradley Wane Roberts
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	4 Professional Dr, Alton, Illinois
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1497074025
Provider Enumeration Date: 05/21/2010
Last Update Date: 05/21/2010

Medical Identifiers

Medical identifiers for Dr Bradley Wane Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497074025	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	019019769 (Illinois)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bradley Wane Roberts is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Bradley Wane Roberts, DMD 4 Professional Dr, Alton, IL 62002-5067 Ph: (618) 465-9000	Dr Bradley Wane Roberts, DMD 4 Professional Dr, Alton, IL 62002-5067 Ph: (618) 465-9000

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Dentist in Alton, IL

Jessica Chellis, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2800 College Ave, Alton, IL 62002 Phone: 618-474-7000
Dr. Sandra Kay Highsmith, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2800 College Ave, Alton, IL 62002 Phone: 618-474-7208
Dr. Lucas Winebaugh, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2800 College Ave, Alton, IL 62002 Phone: 618-474-7000
Dr. Adam Kennedy Remm, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2800 College Ave, Alton, IL 62002 Phone: 618-474-7000
Prof. Martin F. Land, DDS, MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2800 College Ave - Bldg. 263, Southern Illinois University, School Of Dental Medicine, Alton, IL 62002 Phone: 618-474-7072 Fax: 618-474-7141
Dr. Patrick William Malone, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2800 College Ave, Alton, IL 62002 Phone: 630-391-8330
Dr. Alexandria Nicole Wold, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2800 College Ave, Alton, IL 62002 Phone: 618-474-7164

Dr Bradley Wane Roberts, DMD - Dentist in Alton, IL