Organization
STEPHEN S. WOOTEN DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVE WOOTEN DDS (PRESIDENT)
(662) 258-2461
Entity
Organization
Contact information
Practice address
202 MEADOWLANE ST, EUPORA, MS 39744-2219
(662) 258-2461
Mailing address
PO BOX 726, EUPORA, MS 39744-0726
(662) 258-2461
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1774-77
MS
Other
Enumeration date
02/02/2007
Last updated
08/22/2020
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