Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bradley W Roberts DMD PC

Organization Oral & Maxillofacial Surgery (D.M.D.) · NPI 1396899878

Bradley W Roberts DMD PC is an Oral & Maxillofacial Surgery (D.M.D.) in Alton, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4 Professional Dr
Alton, IL 62002
Phone: (618) 465-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X (IL)

Record details

NPI number1396899878
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bradley Roberts — President · (618) 465-9000
NPI enumeratedJanuary 22, 2007
Last updated in NPPESAugust 22, 2020
Mailing address4 Professional Drive, Alton, IL 62002