R Ted Roberts Dds Pa in Clarksdale - Dentist
R Ted Roberts Dds Pa - NPI 1164524328
R Ted Roberts Dds Pa is a Dentist in Clarksdale, Mississippi. R Ted Roberts Dds Pa practices all healthcare services and medical treatments related to Dentist. The NPI Number for R Ted Roberts Dds Pa is 1164524328. The last update date is 2020-08-22.
R Ted Roberts Dds Pa's current location address is 632 Friars Point Road, Clarksdale, Mississippi. You can contact this provider via phone number 6626246862 and fax number 6626245985. The mailing address for R Ted Roberts Dds Pa is 632 Friars Point Road, Clarksdale, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | R Ted Roberts Dds Pa |
|---|---|
| Address | 632 Friars Point Road, Clarksdale, Mississippi |
| Phone Number | 6626246862 |
| Fax Number | 6626245985 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Roberts Ted R |
| Credentials | DDS PA |
| Telephone Number | 6626246862 |
NPI Number Detail
| NPI Number | 1164524328 |
|---|---|
| Provider Enumeration Date | 2006-09-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 632 Friars Point Road |
|---|---|
| City | Clarksdale |
| State | Mississippi (MS) |
| Post Code | 38614 |
| Phone Number | 6626246862 |
| Fax Number | 6626245985 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 147071 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3036322 | MS | -- | |
| 62287 | MS | -- |
Post Comment/ Review Below
What is the R Ted Roberts Dds Pa's unique identification number?
The R Ted Roberts Dds Pa has been assigned the NPI (National Provider Identifier) Number 1164524328 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where R Ted Roberts Dds Pa's facilities are geographically located?
The facilities of R Ted Roberts Dds Pa are physically situated at the following location: 632 Friars Point Road, Clarksdale, MS, 38614.
What is the area of specialization for R Ted Roberts Dds Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for R Ted Roberts Dds Pa is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the R Ted Roberts Dds Pa receive the assignment of its 1164524328 from the Centers for Medicare & Medicaid Services?
The R Ted Roberts Dds Pa was issued its 1164524328 by the Centers for Medicare & Medicaid Services on 2006-09-01.
As of what date was the information pertaining to R Ted Roberts Dds Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to R Ted Roberts Dds Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.