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

DR. MUNDY SCOTT BREAZEALE SR.

Active Sole Proprietor

Dentist · GULFPORT, MS

Registration Details

NPI Number
1669489290
Provider Type
Individual
Gender
Male
NPI Issued
Aug 3, 2006 (19.717261772283 yrs)
Last Updated
Jul 8, 2007
License
271493 (MS)
Sole Proprietor
Yes

Practice Information

Address
430 SECURITY SQ
GULFPORT, MS, 395071952
Browse MS providers · Browse ZIP 39507
Phone
2288967022
Primary Specialty
Dentist
122300000X

Other Dentist Providers in GULFPORT, MS

Name Credential NPI
DR. LINDBERG CLARK DMD 1568439107
PAUL J ROUSE DMD 1184693723
WALTER L GUILLOT DMD 1639189962
KEVIN DANIEL VERRRETT DDS 1417061508
MR. FREDERIC BERTRAND DUNN DDS 1003920489
DR. LARRY ROSS BUNTYN SR. DDS 1659466753
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.