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 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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.