| Stephen S. Wooten Dds Pa | |
|
202 Meadowlane St Eupora MS 39744-2219 | |
| (662) 258-2461 | |
| Not Available |
| Full Name | Stephen S. Wooten Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 202 Meadowlane St, Eupora, Mississippi |
| Authorized Official Name and Position | Steve Wooten (PRESIDENT) |
| Authorized Official Contact | 6622582461 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen S. Wooten Dds Pa Po Box 726 Eupora MS 39744-0726 Ph: (662) 258-2461 | Stephen S. Wooten Dds Pa 202 Meadowlane St Eupora MS 39744-2219 Ph: (662) 258-2461 |
| NPI Number | 1023156999 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023156999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1774-77 (Mississippi) | Primary |
Sky Family Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Meadowlane Street, Eupora, MS 39744 Phone: 662-744-7040 Fax: 662-744-7046 |