Dr Leland Moore Roberts, DDS is a
Dentist - General Practice based in Baldwyn, Mississippi. Dr Leland Moore Roberts is licensed to practice in Mississippi (license number 1551-73) and his current practice location is
110 S 3rd St, Baldwyn, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(662) 365-3154.
NPI number for Dr Leland Moore Roberts is 1821103474 and his current mailing address is 110 S 3rd St, Baldwyn, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1821103474.
Healthcare Provider's Profile
Full Name | Dr Leland Moore Roberts |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 110 S 3rd St, Baldwyn, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1821103474
- Provider Enumeration Date: 08/21/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Leland Moore Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821103474 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 1551-73 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Leland Moore Roberts is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Leland Moore Roberts, DDS 110 S 3rd St, Baldwyn, MS 38824-2243 Ph: (662) 365-3154 | Dr Leland Moore Roberts, DDS 110 S 3rd St, Baldwyn, MS 38824-2243 Ph: (662) 365-3154 |
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