person
Raymond Kimble Doty JR., DDS,MS
Pediatric Dentist in Gulfport, Mississippi
NPI 1790851707

Raymond Kimble Doty JR. is a Pediatric Dentist based in Gulfport, MS and is specialized in Pediatric Dentistry. Raymond Kimble Doty JR. practices in Gulfport, MS and has the professional credentials of DDS,MS. The NPI Number for Raymond Kimble Doty JR. is 1790851707 and holds a License No. 2922 (Mississippi).

The current practice location address for Raymond Kimble Doty JR. is 1119 42Nd Ave, Gulfport, MS and can be reached out via phone at 228-864-8521 and via fax at 228-863-8992. You can also correspond with Raymond Kimble Doty JR. through the mailing address at 1119 42ND AVE, GULFPORT, MS - 39501-2664 (mailing address contact number: 228-864-8521).

Location: 1119 42Nd Ave, Gulfport, MS, 39501-2664
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Provider Profile Details
NPI Number
1790851707
Provider Name
Raymond Kimble Doty JR.
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Male
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
00660144 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
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
2922 (Mississippi)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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