Mullins, Douglas Clayton

Mullins, Douglas Clayton is an individual health care provider with primary practice located at 613 Watauga St Ste C, D, & E, Kingsport TN 37660-4429. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mullins, Douglas Clayton can be contacted via phone (423) 247-7741.

Contact Information

Primary practice address
613 Watauga St Ste C, D, & E Kingsport TN 37660-4429
Fax: (423) 247-7441
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS-6820 Tennessee

Profile Details

NPI number 1083767784
LBN Legal business name Mullins, Douglas Clayton
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1083767784 NPPES
Tennessee MEDICAID 9181319
Tennessee MEDICAID 5440717
Tennessee Other 148129

Popular Providers