Individual
DOUGLAS G RUMMELLS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5403 CASTLEWOODS COURT, SUITE D, FLOWOOD, MS 39232-7316
(601) 992-9993
(601) 992-9130
Mailing address
5403 CASTLEWOODS COURT, SUITE D, FLOWOOD, MS 39232-7316
(601) 992-9993
(601) 992-9130
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
330804
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03509503
—
MS
Enumeration date
11/16/2006
Last updated
07/08/2007
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