Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REGGIE HARRIS BROOM, DMD
ActiveREGGIE HARRIS BROOM, DMD is a Pediatric Dentistry healthcare provider located in GULFPORT, Mississippi. NPI 1063588788 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · GULFPORT, MS
Registration Details
- NPI Number
- 1063588788
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 27, 2006 (19.67762683458 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
200583 (MS)11986 (MS)
Practice Information
- Address
-
1635 E PASS ROADGULFPORT, MS, 39507Browse MS providers · Browse ZIP 39507
- Phone
- 2288965197
- Fax
- 2288965192
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in GULFPORT, MS
| Name | Credential | NPI |
|---|---|---|
| ERIC L HYDE | DDS PLLC | 1609888197 |
| RAYMOND KIMBLE DOTY JR. | D.D.S., M.S. | 1790851707 |
| DR. STACEY RITTER CARTER | D.M.D. | 1497068118 |
| MAEGEN CALHOUN MCCABE | DMD | 1710327960 |
| DR. KRISTEN MULLINS DOUGLAS | DMD | 1821409871 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.