R KIMBLE DOTY, JR DDS,MS PEDIATRIC DENTISTRY, PC
NPI 1730255753
Clinic/Center - Dental in Gulfport, MS

Active since November 28, 2006
1119 42ND AVE, GULFPORT, MS 39501(228) 864-8521(228) 863-8992 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About R Kimble Doty, Jr Dds,ms Pediatric Dentistry, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

R KIMBLE DOTY, JR DDS,MS PEDIATRIC DENTISTRY, PC (NPI 1730255753) is a healthcare organization registered as a dental in Gulfport, Mississippi and active in the NPI registry since November 2006. The organization lists R Kimble Doty, President, as its authorized official.

NPPES Registry Identity

NPI1730255753
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameR KIMBLE DOTY, JR DDS,MS PEDIATRIC DENTISTRY, PC
Location Address1119 42ND AVEGulfport, MS 39501-2664
Mailing Address1119 42nd AveGulfport, MS 39501-2664 · (228) 864-8521 · Fax (228) 863-8992
Fax(228) 863-8992
Organization SubpartNo
Authorized OfficialR Kimble DotyPresident · (228) 864-8521
Enumeration DateNovember 28, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1730255753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in MS · 2922
1119 42ND AVE, Gulfport, MS 39501

Other Identifiers 1

Medicaid07450231MS

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
1119 42ND AVE
GULFPORT, MS 39501
Dentist (Orthodontics and Dentofacial Orthopedics)
1119 42ND AVE
GULFPORT, MS 39501
Dentist (Pediatric Dentistry)
1119 42ND AVE
GULFPORT, MS 39501
Dentist (Pediatric Dentistry)
1119 42ND AVE
GULFPORT, MS 39501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is R Kimble Doty, Jr Dds,ms Pediatric Dentistry, PC's NPI number?

The NPI number for R Kimble Doty, Jr Dds,ms Pediatric Dentistry, PC is 1730255753. It was assigned to this organization in the NPPES registry on November 28, 2006.

Where is R Kimble Doty, Jr Dds,ms Pediatric Dentistry, PC located?

R Kimble Doty, Jr Dds,ms Pediatric Dentistry, PC is located at 1119 42nd Ave, Gulfport, MS 39501. The listed phone number is (228) 864-8521.

What is R Kimble Doty, Jr Dds,ms Pediatric Dentistry, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for R Kimble Doty, Jr Dds,ms Pediatric Dentistry, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.