Donald P. Roten, DDS, P.a.
Organization Active NPI Dental Clinic/Center · Ripley, MS
NPI 1124156476 · NPPES record last updated Aug 26, 2008
Key facts
- NPI
- 1124156476
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- License
- MS1279-67 (MS)
- Legal business name
- DONALD P. ROTEN, DDS, P.A.
- Practice address
- 307 Union St
Ripley, MS 38663-1718 - Phone
- (662) 837-4664
- Fax
- (662) 837-1501
- NPI assigned
- Mar 1, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Donald Perrin Roten Sr., D.D.S.
- Title
- President
- Phone
- (662) 837-4664
Practitioners 1
-
Donald Perrin Roten Sr., D.D.S.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | MS1279-67 | MS | Yes |
Addresses
Primary practice location
307 Union St
Ripley, MS 38663-1718
Mailing address
307 Union St
Ripley, MS 38663-1718
Phone (662) 837-4664
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00060081 | Medicaid | MS |
Other providers in Ripley, MS
- Sierra Davis
- Deep South Emergency Physicians LLC
- Meredith Dillon
- Diversicare of Ripley, LLC
- Brian J Doler
- Lori S Duke
- Karen Dulaney
- Kasha Edgeston
- Jody Lynn Edwards
- Charles McCarley Elliott
All providers in Ripley, MS · Dental Clinic/Center in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.