Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

R Ted Roberts DDS PA

Organization Dentist · NPI 1164524328

R Ted Roberts DDS PA is a Dentist in Clarksdale, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

632 Friars Point Rd
Clarksdale, MS 38614
Phone: (662) 624-6862
Fax: (662) 624-5985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 147071 (MS)

Record details

NPI number1164524328
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official R Roberts — President · (662) 624-6862
NPI enumeratedSeptember 1, 2006
Last updated in NPPESAugust 22, 2020
Mailing address632 Friars Point Road, Clarksdale, MS 38614

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