MEDICARE: DR. BILL W ROE JR. DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	4461	AL

General Provider Information

NPI Number	:	1861541872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BILL W ROE JR. DMD

Provider Business Mailing Address
First Line	:	2492 HELENA RD
Second Line	:
City	:	HELENA
State	:	AL
Zip	:	35080-3271
Country	:	US
Telephone Number	:	205-784-4558
Fax Number	:	205-358-8055

Provider Business Practice Location Address
First Line	:	2492 HELENA RD
Second Line	:
City	:	HELENA
State	:	AL
Zip	:	35080-3271
Country	:	US
Telephone Number	:	205-784-4558
Fax Number	:	205-358-8055

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	04/08/2026

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