Donald P. Roten, DDS, P.A.
Clinic/Center, Dental in Ripley, MS. Organization (NPI-2).
NPI number1124156476
StatusActive
Last updated in NPPESAug 26, 2008
Details
- NPI
- 1124156476
- Entity type
- Organization (NPI-2)
- Legal business name
- Donald P. Roten, DDS, P.A.
- Organization subpart
- No
- Enumeration date
- Mar 1, 2007
- Last updated
- Aug 26, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | MS1279-67 | MS | Yes |
Practice location
307 Union StRipley, MS 38663-1718
Phone 662-837-4664 · Fax 662-837-1501
Mailing address
307 Union StRipley, MS 38663-1718
Phone 662-837-4664 · Fax 662-837-1501
Authorized official
Donald Perrin Roten
President
6628374664
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