Stephen Spencer Wooten, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1774-77 Issued in MS

Practice address

202 Meadowlane St
Eupora, MS 39744-2219

Phone

(882) 258-2461

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• LD-Oxford, LLC

  • Dental Clinic/Center
  • Oxford, MS
  • NPI 1093374167
  NPD (past)
• Stephen S. Wooten DDS PA

  • General Practice Dentistry
  • Eupora, MS
  • NPI 1023156999
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295741247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386550158",
            "telephone_number": "662-801-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 MEADOWLANE ST",
            "city": "EUPORA",
            "state": "MS",
            "postal_code": "397442219",
            "telephone_number": "882-258-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOTEN",
        "first_name": "STEPHEN",
        "middle_name": "SPENCER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "1774-77",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Orr Whitaker, RPH
• Britney Nichole Williams, MD
• Edward Williams, MS
• James Keenan Wilson, MD
• Cherrie Herard Winter, CFNP
• Maci Claire Wright
• Brittany Yates, PT

• General Practice Dentistry in Eupora, MS
• Providers in Eupora, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.