Raymond Kimble Doty Jr.
D.D.S., M.S. | Pediatric Dentist
1119 42nd Ave, Gulfport
Mississippi, 39501-2664
228-864-8521 228-863-8992
Maps & DirectionsRaymond Kimble Doty Jr. is a Gulfport, Mississippi based Pediatric Dentist who is specialized in
Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Raymond Kimble Doty Jr. is
2922 for Pediatric Dentistry in Mississippi. His current practice location is
1119 42nd Ave, Gulfport. Patients can reach him at
228-864-8521.
Raymond Kimble Doty Jr. provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Raymond Kimble Doty Jr. 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: | Raymond Kimble Doty Jr. |
| Specialization: | Pediatric Dentist |
| Gender: | Male |
| Credentials: | D.D.S., M.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1119 42nd Ave, Gulfport, Mississippi, 39501-2664 |
| Phone: | 228-864-8521 |
| Fax: | 228-863-8992 |
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: | 1790851707 |
| NPI Enumeration Date: | 28 Nov, 2006 |
| NPI Last Update On: | 14 Mar, 2008 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Raymond Kimble Doty Jr. are as mentioned below.
| License Number | Specialization | State | Status | |
| 2922 | Pediatric Dentistry | Mississippi | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Raymond Kimble Doty Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 00660144 | Medicaid | Mississippi | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1119 42nd Ave, Gulfport, Mississippi |
| Zip: | 39501-2664 |
| Phone Number: | 228-864-8521 |
| Fax Number: | 228-863-8992 |
Patients can reach Raymond Kimble Doty Jr. at
1119 42nd Ave, Gulfport, Mississippi or can
call to book an appointment on 228-864-8521.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.