institution
R Kimble Doty, Jr Dds,ms Pediatric Dentistry, Pc
Dental Clinic/Center in Gulfport, Mississippi
NPI 1730255753

R Kimble Doty, Jr Dds,ms Pediatric Dentistry, Pc is a Dental Clinic/Center based in Gulfport, MS and is specialized in Dental. R Kimble Doty, Jr Dds,ms Pediatric Dentistry, Pc practices in Gulfport, MS. The NPI Number for R Kimble Doty, Jr Dds,ms Pediatric Dentistry, Pc is 1730255753 and holds a License No. 2922 (Mississippi).

The current practice location address for R Kimble Doty, Jr Dds,ms Pediatric Dentistry, Pc is 1119 42Nd Ave, Gulfport, MS and can be reached out via phone at 228-864-8521 and via fax at 228-863-8992.

Location: 1119 42Nd Ave, Gulfport, MS, 39501-2664
institution
Provider Profile Details
NPI Number
1730255753
Provider Name
R Kimble Doty, Jr Dds,ms Pediatric Dentistry, Pc
Credential
Provider Entity Type
Organization
Address
1119 42Nd Ave, Gulfport, MS, 39501-2664
Phone Number
228-864-8521
Fax Number
228-863-8992
Provider Enumeration Date
11/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07450231 05 MS
institution
Provider Business Practice Location Address Details
Address
1119 42Nd Ave
City
State
Zip
39501-2664
Phone Number
228-864-8521
Fax Number
228-863-8992
person
Provider Business Mailing Address Details
Address
1119 42Nd Ave
City
State
Zip
39501-2664
Phone Number
228-864-8521
Fax Number
228-863-8992
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
2922 (Mississippi)
Definition
Definition to come...
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