Individual
DR. STEPHEN SPENCER WOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
202 MEADOWLANE ST, EUPORA, MS 39744-2219
(882) 258-2461
Mailing address
PO BOX 158, OXFORD, MS 38655-0158
(662) 801-6878
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1774-77
MS
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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