R TED ROBERTS DDS PA
NPI 1164524328
Dentist in Clarksdale, MS

Q: What is R Ted Roberts Dds PA's NPI number?

The NPI number for R Ted Roberts Dds PA is 1164524328. It was assigned to this organization in the NPPES registry on September 1, 2006.

Q: What is R Ted Roberts Dds PA's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since September 01, 2006

632 FRIARS POINT ROAD, CLARKSDALE, MS 38614(662) 624-6862(662) 624-5985 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About R Ted Roberts Dds Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

R TED ROBERTS DDS PA (NPI 1164524328) is a healthcare organization registered as a dentist in Clarksdale, Mississippi and active in the NPI registry since September 2006. The organization lists R Ted Roberts, President, as its authorized official.

NPPES Registry Identity

NPI1164524328

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameR TED ROBERTS DDS PA

Location Address632 FRIARS POINT ROADClarksdale, MS 38614

Mailing Address632 Friars Point RoadClarksdale, MS 38614 · (662) 624-6862 · Fax (662) 624-5985

Phone(662) 624-6862

Fax(662) 624-5985

Organization SubpartNo

Authorized OfficialR Ted RobertsPresident · (662) 624-6862

Enumeration DateSeptember 1, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1164524328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MS · 147071

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

632 FRIARS POINT ROAD, Clarksdale, MS 38614

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Other Identifiers 2

Medicaid00062287MS

Medicaid03036322MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is R Ted Roberts Dds PA's NPI number?

The NPI number for R Ted Roberts Dds PA is 1164524328. It was assigned to this organization in the NPPES registry on September 1, 2006.

Where is R Ted Roberts Dds PA located?

R Ted Roberts Dds PA is located at 632 Friars Point Road, Clarksdale, MS 38614. The listed phone number is (662) 624-6862.

What is R Ted Roberts Dds PA's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for R Ted Roberts Dds PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.