Individual
STANTON ULYSSES DOTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1051
(541) 479-6393
(541) 471-1439
Mailing address
1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1051
(541) 479-6393
(541) 471-1439
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12126
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500856047
—
OR
Enumeration date
06/18/2021
Last updated
04/29/2026
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