Robert Theodore Roberts in Clarksdale - General Practice
Robert Theodore Roberts - NPI 1518083948
Robert Theodore Roberts is a General Practice in Clarksdale, Mississippi. Robert Theodore Roberts practices all healthcare services and medical treatments related to General Practice. The NPI Number for Robert Theodore Roberts is 1518083948. The last update date is 2007-07-09.
Robert Theodore Roberts's current location address is 632 Friars Point Rd, Clarksdale, Mississippi. You can contact this provider via phone number 6626246862 and fax number 6626245985. The mailing address for Robert Theodore Roberts is 632 Friars Point Rd, Clarksdale, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Theodore Roberts |
|---|---|
| Address | 632 Friars Point Rd, Clarksdale, Mississippi |
| Phone Number | 6626246862 |
| Fax Number | 6626245985 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1518083948 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 632 Friars Point Rd |
|---|---|
| City | Clarksdale |
| State | Mississippi (MS) |
| Post Code | 386149111 |
| Phone Number | 6626246862 |
| Fax Number | 6626245985 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 147071 |
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Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 62287 | MS | -- |
Post Comment/ Review Below
What is the Robert Theodore Roberts's unique identification number?
The Robert Theodore Roberts has been assigned the NPI (National Provider Identifier) Number 1518083948 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Robert Theodore Roberts is geographically located?
The Robert Theodore Roberts is physically situated at the following location: 632 Friars Point Rd, Clarksdale, MS, 386149111.
What is Robert Theodore Roberts's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Robert Theodore Roberts's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
When was the Robert Theodore Roberts's 1518083948 issued?
The Robert Theodore Roberts's 1518083948 was issued on 2007-03-21.
As of what date was the information regarding Robert Theodore Roberts, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Robert Theodore Roberts, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.