Reggie Harris Broom DMD

  • NPI 1063588788
According to our database, the NPI number for Reggie Harris Broom DMD is 1063588788 and activated since 17 years ago. Reggie Harris Broom DMD is an individual provider who specializes in Pediatric Dentistry, and the primary practice location is 1635 E Pass Road, Gulfport, MS 39507. You can also contact Reggie Harris Broom DMD via telephone number is (228) 896-5197. Provider NPI information was last updated on 07/08/2007.

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Overview of Reggie Harris Broom DMD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 11/27/2006
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 1223P0221X
  • Specialty: Pediatric Dentistry
  • License Number: 11986
  • License State: MS

Provider Mailing Address

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

Provider Practice Location

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

Scope of Practice

  • Taxonomy Code: 1223P0221X
  • Specialty: Pediatric Dentistry
  • License Number: 11986
  • License State: MS
  • Switch: No

Legacy Identifiers

  • Provider Identifier: H66176
  • Identifier Type: Other
  • Identifier State: MS
  • Issuer: UNITED CONCORDIA

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 Harris Broom DMD?
  • A: The npi number for Reggie Harris Broom DMD is 1063588788.
  • Q: What are Reggie Harris Broom DMD's specialties?
  • A: Reggie Harris Broom DMD's specialties are Pediatric Dentistry and different specialities.
  • Q: What is the medical license for Reggie Harris Broom DMD?
  • A: The medical license number for Reggie Harris Broom DMD is 11986 and issued in MS in USA.
  • Q: Where is Reggie Harris Broom DMD practice location?
  • A: Reggie Harris Broom DMD is practicing at 1635 E Pass Road, Gulfport, MS 39507.
  • Q: How to contact Reggie Harris Broom DMD?
  • A: You can contact Reggie Harris Broom DMD via 228-896-5197.