Mr Daryl Roby, DMD is a
Dentist based in Durant, Mississippi. Mr Daryl Roby is licensed to practice in Mississippi (license number 283794) and his current practice location is
15423 N Jackson St, Durant, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(662) 653-3880.
NPI number for Mr Daryl Roby is 1366533283 and his current mailing address is 15423 N Jackson St, Durant, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366533283.
Healthcare Provider's Profile
| Full Name | Mr Daryl Roby |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
|---|
| Location | 15423 N Jackson St, Durant, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1366533283
- Provider Enumeration Date: 09/27/2006
- Last Update Date: 01/27/2014
Medical Identifiers
Medical identifiers for Mr Daryl Roby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366533283 | NPI | - | NPPES |
| 00660253 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 283794 (Mississippi) | Primary |
| 122300000X | Dentist | DNO14632 (Georgia) | Secondary |
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. Mr Daryl Roby 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 |
|---|
Mr Daryl Roby, DMD
15423 N Jackson St,
Durant, MS 39063-4003
Ph: (662) 653-3880 | Mr Daryl Roby, DMD
15423 N Jackson St,
Durant, MS 39063-4003
Ph: (662) 653-3880 |
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