| Stasia D. Winford, Dmd, P.a. | |
|
410 N Jerry Clower Blvd Yazoo City MS 39194-8274 | |
| (662) 746-3491 | |
| (662) 746-3946 |
| Full Name | Stasia D. Winford, Dmd, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 410 N Jerry Clower Blvd, Yazoo City, Mississippi |
| Authorized Official Name and Position | Stasia D Winford (DENTIST) |
| Authorized Official Contact | 6627463491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stasia D. Winford, Dmd, P.a. 410 N Jerry Clower Blvd Yazoo City MS 39194-8274 Ph: (662) 746-3491 | Stasia D. Winford, Dmd, P.a. 410 N Jerry Clower Blvd Yazoo City MS 39194-8274 Ph: (662) 746-3491 |
| NPI Number | 1982976817 |
|---|---|
| Provider Enumeration Date | 02/08/2012 |
| Last Update Date | 01/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982976817 | NPI | - | NPPES |
| 07223267 | Medicaid | MS | |
| 04271891 | Medicaid | MS | |
| 01402849 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2846-94 (Mississippi) | Primary |
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