Reggie H. Broom, DMD, PA
Reggie H. Broom, DMD, PA provides Pediatric Dentistry in Gulfport, Mississippi. Licensed in Mississippi. Registered with an NPI since 2012.
- Licensed in
- MS
- In the registry since
- 2012
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1635 E Pass RdGulfport, MS 39507-3527 Not confirmed with CMS for 13 years — call before visiting
Phone: (228) 896-5197
Fax: (228) 896-5192
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X · Licence 2005-83 (MS) |
|---|
Record details
| NPI number | 1215280672 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Reggie Broom — Pediatric Dentist/Owner · (228) 896-5197 |
| NPI enumerated | October 23, 2012 |
| Last updated in NPPES | October 23, 2012 |
| Mailing address | 1635 E Pass Rd, Gulfport, MS 39507-3527 |
Other providers in Gulfport
-
Edward Brown Specialty Partners of Mississippi PLLC
1119 42nd Ave, Gulfport, MS 39501-2664 · (877) 544-3492
-
Gulf Coast Pediatric Dentistry PLLC
15236 Dedeaux Rd, Gulfport, MS 39503-3161 · (228) 832-3111
-
Eric L Hyde, DDSPLLC
15236 Dedeaux Rd, Gulfport, MS 39503-3161 · (228) 832-3111
-
Maegen Calhoun McCabe, DMD
15236 Dedeaux Rd, Gulfport, MS 39503-3161 · (228) 832-3111