Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215929039 Individual Practitioner Male Practitioner

Dr. Roger E Pradelli , DMD

Dentist - General Practice • Keesler Afb, MS

Professional Overview & Biography Verified Profile Summary

Dr. Roger Pradelli, DMD is a registered healthcare professional specializing in Dentist - General Practice in Keesler Afb, MS. Practice services are available at 301 FISHER ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

301 Fisher St

Keesler Afb, MS 395342508

Telephone 2283760512
Associated Practice Facility / Clinic
🏢 81st Medgrp-Keesler Facility NPI 1710967526

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Keesler Afb, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.3 Yrs
Regional Practice Density
7 Specialists

Practicing in Keesler Afb, MS (895 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License DE 0001101

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. David Jones , DDS

Dentist - General Practice

NPI 1013083005

Doctor of Dental Surgery

Dr. Mark Roberts , DMD

Dentist - Endodontics

NPI 1528024833

Doctor of Dental Medicine

Dr. Tommy Fisher , DDS

Dentist - General Practice

NPI 1861471542

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 26, 2018

Registered at 301 FISHER ST, KEESLER AFB, MS 395342508 (Tel: 2283760512)

📍
Updated Business Mailing Address April 26, 2018

Registered at 301 FISHER ST, KEESLER AFB, MS 395342508 (Tel: 2283760512)

NPI Profile Active September 04, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location September 04, 2008

Registered at 7219 N LITCHFIELD RD, LUKE AFB, AZ 853091529 (Tel: 6238569045)

📍
Updated Business Mailing Address September 04, 2008

Registered at 3014 N MEADOW LN, AVONDALE, AZ 853234329 (Tel: 2103831588)

👤
Provider Name / Credentials Updated September 04, 2008

Recorded as ROGER PRADELLI, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2008

Dentist (License #0001101 in DE)

🟢
Initial NPI Registration & Enumeration August 17, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215929039
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 17, 2005
Last Update: April 26, 2018
Sole Proprietor: No

Mailing Address

301 Fisher St

Keesler Afb, MS 395342508

Phone: 2283760512

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.