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Robert Theodore Roberts
General Practice Dentistry in Clarksdale, Mississippi
NPI 1518083948

Robert Theodore Roberts is a General Practice Dentistry based in Clarksdale, MS and is specialized in General Practice. Robert Theodore Roberts practices in Clarksdale, MS. The NPI Number for Robert Theodore Roberts is 1518083948 and holds a License No. 147071 (Mississippi).

The current practice location address for Robert Theodore Roberts is 632 Friars Point Rd, Clarksdale, MS and can be reached out via phone at 662-624-6862 and via fax at 662-624-5985.

Location: 632 Friars Point Rd, Clarksdale, MS, 38614-9111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518083948
Provider Name
Robert Theodore Roberts
Credential
Provider Entity Type
Individual
Gender
Male
Address
632 Friars Point Rd, Clarksdale, MS, 38614-9111
Phone Number
662-624-6862
Fax Number
662-624-5985
Provider Enumeration Date
03/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00062287 05 MS
institution
Provider Business Practice Location Address Details
Address
632 Friars Point Rd
City
Clarksdale
State
Mississippi
Zip
38614-9111
Phone Number
662-624-6862
Fax Number
662-624-5985
person
Provider Business Mailing Address Details
Address
632 Friars Point Rd
City
Clarksdale
State
Mississippi
Zip
38614-9111
Phone Number
662-624-6862
Fax Number
662-624-5985
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
147071 (Tennessee)
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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