Dr. Kristen Mullins Douglas is a Gulfport, Mississippi based Dentist who is specialized in Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Kristen Mullins Douglas is PEDO-534-17 for Pediatric Dentistry in Mississippi. Her current practice location is 1635 E Pass Rd, Gulfport. Patients can reach her at 228-896-5197.
Dr. Kristen Mullins Douglas is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Kristen Mullins Douglas speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Kristen Mullins Douglas
Specialization:
Dentist
Gender:
Female
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
1635 E Pass Rd, Gulfport, Mississippi, 39507-3527
Phone:
228-896-5197
Fax:
228-896-5192
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1821409871
NPI Enumeration Date:
13 May, 2014
NPI Last Update On:
28 Mar, 2018
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kristen Mullins Douglas are as mentioned below.
License Number
Specialization
State
Status
PEDO-534-17
Pediatric Dentistry
Mississippi
Primary
3847-16
Dentistry
Mississippi
Secondary
10230
Pediatric Dentistry
Tennessee
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kristen Mullins Douglas such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
04203063
Medicaid
Mississippi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1635 E Pass Rd, Gulfport, Mississippi
Zip:
39507-3527
Phone Number:
222-896-5197
Fax Number:
228-896-5192
Patients can reach Dr. Kristen Mullins Douglas at 1635 E Pass Rd, Gulfport, Mississippi or can call to book an appointment on 228-896-5197. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.