Search › Mississippi › 1223P0221X
Kristen Douglas, DMD
NPI 1821409871 · on the registry since 2014
Practice
- Address
- 1635 E Pass Rd
Gulfport, MS 39507 - Phone
- (228) 896-5197
- Fax
- (228) 896-5192
- Organisation at this address
- Reggie H. Broom, D.M.D., P.A.
Coastkids Pediatric Dentistry, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 3704 Bienville Blvd Ste C1, Ocean Springs, MS
Registry record
- Primary taxonomy
- 1223P0221X
1223P0221X
- Also registered as
- 122300000X
1223P0221X - Licence states on file
- MS, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi