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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REGGIE H. BROOM, D.M.D., P.A.

Active Organization

REGGIE H. BROOM, D.M.D., P.A. is a Pediatric Dentistry organization located in GULFPORT, Mississippi. NPI 1215280672 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · GULFPORT, MS

Registration Details

NPI Number
1215280672
Provider Type
Organization
NPI Issued
Oct 23, 2012 (13.8352106363 yrs)
Last Updated
Oct 23, 2012
License
2005-83 (MS)

Practice Information

Address
1635 E PASS RD
GULFPORT, MS, 395073527
Browse MS providers · Browse ZIP 39507
Phone
2288965197
Fax
2288965192
Primary Specialty
Pediatric Dentistry
1223P0221X

Other Pediatric Dentistry Organizations in GULFPORT, MS

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.