R Kimble Doty, Jr Dds,Ms Pediatric Dentistry, Pc

LBN: R Kimble Doty, Jr Dds,Ms Pediatric Dentistry, Pc
R Kimble Doty, Jr Dds,Ms Pediatric Dentistry, Pc is an health care organization with primary practice located at 1119 42Nd Ave , Gulfport MS 39501-2664. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. R Kimble Doty, Jr Dds,Ms Pediatric Dentistry, Pc can be contacted via phone (228) 864-8521, or through Doty, R Kimble via phone (228) 864-8521.

Contact Information

Primary practice address
1119 42Nd Ave Gulfport MS 39501-2664
Phone: (228) 864-8521
Fax: (228) 863-8992
Website:
Map and Directions
Authorized official contact:
Name: Doty, R Kimble D.D.S., M.S.
Phone: (228) 864-8521

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 2922 Mississippi

Profile Details

NPI number 1730255753
LBN Legal business name R Kimble Doty, Jr Dds,Ms Pediatric Dentistry, Pc
DBA Doing business as
Authorized official Doty, R Kimble D.D.S., M.S.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730255753 NPPES
Mississippi MEDICAID 07450231

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