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
Phone: (423) 247-7741
Fax: (423) 247-7441
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1083767784 | NPPES |
Tennessee | MEDICAID | 9181319 | |
Tennessee | MEDICAID | 5440717 | |
Tennessee | Other | 148129 |
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