# KATHERINE WOOTON D.D.S., INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649849340
- **Authorized official:** DR. KATHERINE WOOTON (DENTIST)
- **Authorized official phone:** (304) 692-6112

## Contact information

- **Practice address:** 702 PROFESSIONAL PARK DR STE 100, SUMMERSVILLE, WV 26651-2033
- **Practice address phone:** (304) 872-7272
- **Mailing address:** 702 PROFESSIONAL PARK DR STE 100, SUMMERSVILLE, WV 26651-2033
- **Mailing address phone:** (304) 872-7272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 06/18/2021
- **Last updated:** 06/18/2021