Brad Warren Roehl, DMD
Dentist, Pediatric Dentistry in Jonesboro, GA. Individual provider (NPI-1).
NPI number1902829161
StatusActive
Last updated in NPPESAug 24, 2012
Details
- NPI
- 1902829161
- Entity type
- Individual (NPI-1)
- Name
- Brad Warren Roehl
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2006
- Last updated
- Aug 24, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | DN012958 | GA | Yes |
Practice location
435 Arrowhead BlvdJonesboro, GA 30236-1219
Phone 770-478-8400 · Fax 770-473-8766
Mailing address
295 Country Club DrStockbridge, GA 30281-7350
Phone 770-473-1350 · Fax 770-692-0098
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Other Pediatric Dentistry providers in Jonesboro, GA
- Dentistry For ChildrenNPI 1164411674
- Dentistry For Children Of Jonesboro, LLCNPI 1083915896
- Oghenerukevwe Ololade ErhenedeNPI 1700532355
- Angel M Guardiola, DMDNPI 1689791519
- Homegrown Pediatric Dentistry And OrthodonticsNPI 1225402373
- Mariel Nortick, DDSNPI 1336410182
All 7 Pediatric Dentistry providers in Jonesboro · All 1,354 providers in Jonesboro
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