R Kimble Doty, Jr DDS,Ms Pediatric Dentistry, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2922 Issued in MS

Legal business name

R KIMBLE DOTY, JR DDS,MS PEDIATRIC DENTISTRY, PC

Practice address

1119 42ND Ave
Gulfport, MS 39501-2664

Phone

(228) 864-8521

Fax

(228) 863-8992

NPI assigned

Nov 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

R Kimble Doty, D.D.S., M.S.

Title

President

Phone

(228) 864-8521

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730255753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 42ND AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012664",
            "telephone_number": "228-864-8521",
            "fax_number": "228-863-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 42ND AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012664",
            "telephone_number": "228-864-8521",
            "fax_number": "228-863-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R KIMBLE DOTY, JR DDS,MS PEDIATRIC DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOTY",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "KIMBLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "228-864-8521",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MS",
            "license": "2922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07450231",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clarence R Quave, DPT
• Fauzia F. Quddus, M.D.
• Quest Medical Services Inc
• Edwin M Quinones, M.D.
• Barry Michael Quirk Jr., DPT
• Jeannine A Racey, CGNP
• Rita A Rademacher, LMSW
• Tisha Nicole Radich, COTA/L
• Raeline K. McIntyre, DMD, P.C.
• Harmony Raffeo

• Dental Clinic/Center in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Dental Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.