Whalio Doctors

NPI 1093445389

William Colby Roberts, DMD

Practitioner General Practice Dentistry Pearl, MS

Practice location

Address
5647 Highway 80 E STE 4, Pearl, MS 39208-8907
Phone
(601) 936-6108
Mailing address
245 Tucker Dr, Brandon, MS 39042-5020

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 4292-22 (MS)

Registry record

NPI
1093445389
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Jun 2022
Record last updated
10 Jun 2022

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.