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DR. BRADLEY SCOTT ROBERTS DDS NPI 1245431428


NPI Information

NPI: 1245431428
Provider Name: DR. BRADLEY SCOTT ROBERTS, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
5855 WEST UTOPIA RD
MIDWESTERN UNIVERSITY COLLEGE OF DENTAL MEDICINE
GLENDALE, AZ
ZIP 85308
Phone: (623) 806-7011
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DR. Bradley Scott Roberts, DDS is a general practice dentist in Glendale, AZ. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Bradley Scott Roberts, DDS NPI is 1245431428. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5855 WEST UTOPIA RD
MIDWESTERN UNIVERSITY COLLEGE OF DENTAL MEDICINE
GLENDALE, AZ
ZIP 85308
Phone: (623) 806-7011
Fax: (623) 806-7010

The NPI 1245431428 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 5/29/2007 and was last updated on 12/27/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice16479OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.