| Donald P. Roten, Dds, P.a. | |
|
307 Union St Ripley MS 38663-1718 | |
| (662) 837-4664 | |
| (662) 837-1501 |
| Full Name | Donald P. Roten, Dds, P.a. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 307 Union St, Ripley, Mississippi |
| Authorized Official Name and Position | Donald Perrin Roten (PRESIDENT) |
| Authorized Official Contact | 6628374664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald P. Roten, Dds, P.a. 307 Union St Ripley MS 38663-1718 Ph: (662) 837-4664 | Donald P. Roten, Dds, P.a. 307 Union St Ripley MS 38663-1718 Ph: (662) 837-4664 |
| NPI Number | 1124156476 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 08/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124156476 | NPI | - | NPPES |
| 00060081 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | MS1279-67 (Mississippi) | Primary |
Griffin Dental P. A. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 E Walnut St, Ripley, MS 38663 Phone: 662-837-8141 Fax: 662-837-8199 | |
Stanford Dental Clinic, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 306 N Commerce St, Ripley, MS 38663 Phone: 662-837-7822 Fax: 662-837-1076 |