REGGIE H. BROOM, D.M.D., P.A. is a pediatric dentistry dentist in Gulfport, MS. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. REGGIE H. BROOM, D.M.D., P.A. NPI is 1215280672. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1635 E PASS RD
GULFPORT, MS
ZIP 39507-527
Phone: (228) 896-5197
Fax: (228) 896-5192
The provider's authorized official is Reggie Harris Broom .
The authorized official title is Pediatric Dentist/owner and has the following contact phone number (228) 896-5197.
The enumeration date for this NPI number is 10/23/2012 and was last updated on 10/23/2012.