IndividualActive
Kevin Douglas, DMD
NPI 1932309648 · Orthodontics and Dentofacial Orthopedics Dentistry · Meridian, MS
Provider details
- NPI number
- 1932309648
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- DN 17395 (FL)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
1603 23rd Ave
Meridian, MS 39301-3102
Phone: (601) 483-4522
Fax: (601) 485-9925
Approximate (ZIP-level) locationGet directions
Mailing address
1603 23rd Ave
Meridian, MS 39301-3102
Registry dates
- Enumerated
- 2007-07-20
- Last updated
- 2011-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.