NPI 1164524328

R Ted Roberts DDS PA

Organisation Dentist Clarksdale, MS

Practice location

Address: 632 Friars Point Road, Clarksdale, MS 38614
Phone: (662) 624-6862
Fax: (662) 624-5985

Authorised official

Name: R Ted Roberts
Title: President
Phone: (662) 624-6862

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 147071 (MS)

Other Dentist providers in Mississippi →

Registry record

NPI: 1164524328
Entity type: Organization
NPI issued: 1 Sep 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.