Reggie H. Broom, D.m.d., P.a.

  • 1215280672 NPI Number
  • |
  • Actived: 11 years ago
  • |
Reggie H. Broom, D.m.d., P.a. is a health care provider based in Gulfport, MS. The NPI Number is 1215280672 and it has been active since 11 years ago. The specialty is Pediatric Dentistry, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Pediatric Dentistry services, Reggie H. Broom, D.m.d., P.a. is an excellent option. We are here to help you get the care you need.

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Overview of Reggie H. Broom, D.m.d., P.a.

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 10/23/2012
  • Last updated: 10/23/2012

Primary Scrop of Practice

  • Taxonomy Code: 1223P0221X
  • Specialty: Pediatric Dentistry
  • License Number: 2005-83
  • License State: MS

Provider Mailing Address

  • Address: 1635 E Pass Rd
    Gulfport, MS 39507
  • Phone: 228-896-5197
  • Fax: 228-896-5192

Provider Practice Location

  • Address: 1635 E Pass Rd
    Gulfport, MS 39507
  • Phone: 228-896-5197
  • Fax: 228-896-5192

Authorized Official

  • Name: DR. Reggie Harris Broom D.M.D.
  • Position/Title: Pediatric Dentist/owner
  • Telephone Number: 228-896-5197

Scope of Practice

  • Taxonomy Code: 1223P0221X
  • Specialty: Pediatric Dentistry
  • License Number: 2005-83
  • License State: MS
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 07734393
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MS
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Reggie H. Broom, D.m.d., P.a.?
  • A: The npi number for Reggie H. Broom, D.m.d., P.a. is 1215280672.
  • Q: What are Reggie H. Broom, D.m.d., P.a.'s specialties?
  • A: Reggie H. Broom, D.m.d., P.a.'s specialties are Pediatric Dentistry and different specialities.
  • Q: Where is Reggie H. Broom, D.m.d., P.a. business practice location?
  • A: Reggie H. Broom, D.m.d., P.a. business practice location is 1635 E Pass Rd, Gulfport, MS 39507.
  • Q: How to contact Reggie H. Broom, D.m.d., P.a.?
  • A: You can contact Reggie H. Broom, D.m.d., P.a. via 228-896-5197.
  • Q: What is the authorized official for Reggie H. Broom, D.m.d., P.a.?
  • A: The authorized office name is DR. Reggie Harris Broom D.M.D. with position/title is Pediatric Dentist/owner and you can reach the authorized official via phone number 2288965197.
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