Steven Bradford Roberts, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

3185-01 Issued in MS

Practice address

1043 S Madison St
Tupelo, MS 38801-6309

Phone

(662) 842-8200

Fax

(662) 844-3157

NPI assigned

Jun 29, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295932473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 S MADISON ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016309",
            "telephone_number": "662-842-8200",
            "fax_number": "662-844-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 S MADISON ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016309",
            "telephone_number": "662-842-8200",
            "fax_number": "662-844-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "STEVEN",
        "middle_name": "BRADFORD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MS",
            "license": "3185-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilda Roberts
• Jennifer Roberts, LMSW
• Lisa Roberts
• Paul Russell Roberts, MD
• Raychal Reed Roberts, PR, DPT
• Charles R Robertson, M.D.
• James Michael Robertson, DMD
• Kathryn Micaela Robertson, FNP-BC
• Franchesca Robichaud
• Braxton Lamarr Robins

• Oral and Maxillofacial Surgery (Dentist) in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Oral and Maxillofacial Surgery (Dentist) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.