R Ted Roberts Dds Pa is a Dental Clinic in Clarksdale, Mississippi. It is located at 632 Friars Point Road, Clarksdale, MS and its contact number is 662-624-6862. The authorized person for R Ted Roberts Dds Pa is R Ted Roberts
who is President of the clinic and their contact number is 662-624-6862. The primary license number for R Ted Roberts Dds Pa is 147071 (Dentist) in Mississippi.
R Ted Roberts Dds Pa Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
R Ted Roberts Dds Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | R Ted Roberts Dds Pa |
| Specialization: | Dentistry |
| Clinic Address: | 632 Friars Point Road, Clarksdale,
Mississippi, 38614 |
| Phone: | 662-624-6862 |
| Fax: | 662-624-5985 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | R Ted Roberts |
| Position: | President |
| Contact Number: | 662-624-6862 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for R Ted Roberts Dds Pa clinic are as mentioned below.
| NPI Number: | 1164524328 |
| NPI Enumeration Date: | 01 Sep, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for R Ted Roberts Dds Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | 147071 | Mississippi | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 03036322 | Medicaid | Mississippi | |
| 00062287 | Medicaid | Mississippi | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | R Ted Roberts Dds Pa
632 Friars Point Road,
Clarksdale, Mississippi |
| Zip: | 38614 |
| Phone Number: | 662-624-6862 |
| Fax Number: | 662-624-5985 |
Patients can reach R Ted Roberts Dds Pa at
632 Friars Point Road, Clarksdale, Mississippi or can
call to book an appointment on 662-624-6862.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.