Individual
DR. DONALD PERRIN ROTEN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
307 UNION ST, RIPLEY, MS 38663-1718
(662) 837-4664
(662) 837-1501
Mailing address
307 UNION ST, RIPLEY, MS 38663-1718
(662) 837-4664
(662) 837-1501
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MS1279-67
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00060081
—
MS
Enumeration date
07/23/2006
Last updated
07/08/2007
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