Bradley W Roberts Dmd Pc

LBN: Bradley W Roberts Dmd Pc
Bradley W Roberts Dmd Pc is an health care organization with primary practice located at 4 Professional Drive , Alton IL 62002. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as the primary health care specialty. Bradley W Roberts Dmd Pc can be contacted via phone (618) 465-9000, or through Roberts, Bradley Wane via phone (618) 465-9000.

Contact Information

Primary practice address
4 Professional Drive Alton IL 62002
Fax:
Website:
Authorized official contact:
Name: Roberts, Bradley Wane Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X Illinois

Profile Details

NPI number 1396899878
LBN Legal business name Bradley W Roberts Dmd Pc
DBA Doing business as
Authorized official Roberts, Bradley Wane Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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