Brad Warren Roehl is a Jonesboro, Georgia based Pediatric Dentist who is specialized in
Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Brad Warren Roehl is
DN012958 for Pediatric Dentistry in Georgia. His current practice location is
435 Arrowhead Blvd, Jonesboro. Patients can reach him at
770-478-8400.
Brad Warren Roehl provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Brad Warren Roehl speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Brad Warren Roehl |
| Specialization: | Pediatric Dentist |
| Gender: | Male |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 435 Arrowhead Blvd, Jonesboro,
Georgia, 30236-1219 |
| Phone: | 770-478-8400 |
| Fax: | 770-473-8766 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1902829161 |
| NPI Enumeration Date: | 26 Jul, 2006 |
| NPI Last Update On: | 24 Aug, 2012 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brad Warren Roehl are as mentioned below.
| License Number | Specialization | State | Status | |
| DN012958 | Pediatric Dentistry | Georgia | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Brad Warren Roehl such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 280155184B | Medicaid | Georgia | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 295 Country Club Dr,
Stockbridge, Georgia |
| Zip: | 30281-7350 |
| Phone Number: | 770-473-1350 |
| Fax Number: | 770-692-0098 |
Patients can reach Brad Warren Roehl at
435 Arrowhead Blvd, Jonesboro, Georgia or can
call to book an appointment on 770-478-8400.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.