Individual provider · Type 1 NPI
Kristen Mullins Douglas, DMD
Pediatric Dentistry · Gulfport, MS
NPI number
1821409871
Active
Practice location
1635 E Pass Rd
Gulfport, MS 39507-3527
Fax (228) 896-5192
Other practice locations
- 3704 Bienville Blvd Ste C1, Ocean Springs, MS 39564-5710 · (228) 875-5501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 3847-16 (MS) |
| Pediatric Dentistry | 1223P0221X | 10230 (TN) |
| Pediatric Dentistry Primary | 1223P0221X | PEDO-534-17 (MS) |
Pediatric Dentistry: 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.
2 other providers at this address
Other pediatric dentistry providers in Gulfport
- Reggie Harris Broom, DMDPediatric Dentistry Gulfport, MS NPI 1063588788
- Stacey Ritter Carter, DMDPediatric Dentistry Gulfport, MS NPI 1497068118
- Eric L. Hyde, DDS PLLCPediatric Dentistry Gulfport, MS NPI 1609888197
- Maegen Calhoun McCabe, DMDPediatric Dentistry Gulfport, MS NPI 1710327960
- Raymond Kimble Doty Jr., DDS, M.S.Pediatric Dentistry Gulfport, MS NPI 1790851707
About NPI 1821409871
Kristen Mullins Douglas, DMD's National Provider Identifier is 1821409871, issued on May 13, 2014. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Gulfport, MS. The record was last updated on Mar 28, 2018.