| R Kimble Doty, Jr Dds,ms Pediatric Dentistry, Pc | |
|
1119 42nd Ave Gulfport MS 39501-2664 | |
| (228) 864-8521 | |
| (228) 863-8992 |
| Full Name | R Kimble Doty, Jr Dds,ms Pediatric Dentistry, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1119 42nd Ave, Gulfport, Mississippi |
| Authorized Official Name and Position | R Kimble Doty (PRESIDENT) |
| Authorized Official Contact | 2288648521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R Kimble Doty, Jr Dds,ms Pediatric Dentistry, Pc 1119 42nd Ave Gulfport MS 39501-2664 Ph: (228) 864-8521 | R Kimble Doty, Jr Dds,ms Pediatric Dentistry, Pc 1119 42nd Ave Gulfport MS 39501-2664 Ph: (228) 864-8521 |
| NPI Number | 1730255753 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730255753 | NPI | - | NPPES |
| 07450231 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2922 (Mississippi) | Primary |
Gulfcoast Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3118 15th Street, Gulfport, MS 39501 Phone: 228-863-6413 | |
Toothdocs, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 382 Courthouse Rd, Suite B, Gulfport, MS 39507 Phone: 228-760-4722 Fax: 228-604-2525 | |
Beach View Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1924 E Pass Rd, Gulfport, MS 39507 Phone: 228-896-1840 Fax: 228-604-4449 | |
Charles G. Wood D.m.d.p.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1213 Broad Ave # Std-1, Gulfport, MS 39501 Phone: 228-863-5171 Fax: 228-863-5233 | |
Harborview Oral And Facial Surgery Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 25th Avenue, Suite 3, Gulfport, MS 39501 Phone: 228-867-0121 Fax: 228-867-0252 | |
Coastkids Pediatric Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1635 E Pass Rd, Gulfport, MS 39507 Phone: 228-896-5197 | |
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