| Reggie Harris Broom, DMD | |
|
1635 E Pass Road, Gulfport, MS 39507 | |
| (228) 896-5197 | |
| (228) 896-5192 |
| Full Name | Reggie Harris Broom |
|---|---|
| Gender | Male |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1635 E Pass Road, Gulfport, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063588788 | NPI | - | NPPES |
| H66176 | Other | MS | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 200583 (Mississippi) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 11986 (Mississippi) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Reggie Harris Broom, DMD 1635 E Pass Road, Gulfport, MS 39507 Ph: (228) 896-5197 | Reggie Harris Broom, DMD 1635 E Pass Road, Gulfport, MS 39507 Ph: (228) 896-5197 |
Mr. Frederic Bertrand Dunn, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3016 21st St, Gulfport, MS 39501 Phone: 228-864-3096 | |
Dr. Michael Owen Williams, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 424 Court House Road, Gulfport, MS 39507 Phone: 228-896-8333 Fax: 228-896-8335 | |
Gunner Rhoden, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 9354 Us 49, Suite L, Gulfport, MS 39503 Phone: 228-206-1234 | |
Dr. Mark D Stringer, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 520-a Courthouse Road, Gulfport, MS 39507 Phone: 228-896-6973 Fax: 228-897-3658 | |
Brandy L Hyde, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 512 Cowan Rd, Gulfport, MS 39507 Phone: 228-896-7404 Fax: 228-896-6048 | |
Timothy E Mccabe, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 512 Cowan Rd, Gulfport, MS 39507 Phone: 228-896-7404 Fax: 228-896-6048 |