Organization
STASIA D. WINFORD, DMD, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STASIA D WINFORD DMD (DENTIST)
(662) 746-3491
Entity
Organization
Contact information
Practice address
410 N JERRY CLOWER BLVD, YAZOO CITY, MS 39194-8274
(662) 746-3491
(662) 746-3946
Mailing address
410 N JERRY CLOWER BLVD, YAZOO CITY, MS 39194-8274
(662) 746-3491
(662) 746-3946
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2846-94
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01402849
—
MS
05
—
04271891
—
MS
05
—
07223267
—
MS
Enumeration date
02/08/2012
Last updated
01/28/2014
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