Individual
RAYMOND KIMBLE DOTY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
1119 42ND AVE, GULFPORT, MS 39501-2664
(228) 864-8521
(228) 863-8992
Mailing address
1119 42ND AVE, GULFPORT, MS 39501-2664
(228) 864-8521
(228) 863-8992
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2922
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660144
—
MS
Enumeration date
11/28/2006
Last updated
03/14/2008
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