| Organization Name: | DONALD P. ROTEN, DDS, P.A. |
| NPI Number: | 1124156476 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONALD PERRIN ROTEN (PRESIDENT) |
| Mailing Address: | 307 Union St Ripley |
| State: | MS US |
| Postal Code: | 386631718 |
| Phone Number: | 6628374664 |
| Fax Number: | 6628371501 |
| NPI Enumeration Date: | 03/01/2007 |
| NPI Last Update Date: | 08/26/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | MS1279-67 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |