Rummells, Douglas G

Rummells, Douglas G is an individual health care provider with primary practice located at 5403 Castlewoods Court Suite D, Flowood MS 39232-7316. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Rummells, Douglas G can be contacted via phone (601) 992-9993.

Contact Information

Primary practice address
5403 Castlewoods Court Suite D Flowood MS 39232-7316
Fax: (601) 992-9130
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 330804 Mississippi

Profile Details

NPI number 1629141502
LBN Legal business name Rummells, Douglas G
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629141502 NPPES
Mississippi MEDICAID 03509503

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