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BROADWATER DENTAL
NPI 1386186278
Dentist in Biloxi, MS

Active since November 09, 2016
2318 PASS RD, STE 9, BILOXI, MS 39531(228) 388-3353(228) 388-4696 Get Directions Write a Review

NPPES record last updated: November 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Broadwater Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROADWATER DENTAL (NPI 1386186278) is a healthcare organization registered as a dentist in Biloxi, Mississippi and active in the NPI registry since November 2016. The organization lists Clifford J Cook, Dentist, as its authorized official.

NPPES Registry Identity

NPI1386186278
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameBROADWATER DENTAL
Location Address2318 PASS RD, STE 9Biloxi, MS 39531-4044
Mailing Address2318 Pass Road, Ste 9Biloxi, MS 39531 · (228) 388-3353 · Fax (228) 388-4696
Phone(228) 388-3353
Fax(228) 388-4696
Organization SubpartNo
Authorized OfficialClifford J CookDentist · (228) 388-3353
Enumeration DateNovember 9, 2016
✔ NPI 1386186278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MS · MS3497-09
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2318 PASS RD, Biloxi, MS 39531
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Other Identifiers 1

Medicaid01754550MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHRISTOPHER KENDALL RAINS O.D.
Optometrist
2318 PASS RD, SUITE 1
BILOXI, MS 39531
Harrison County (228) 388-1115
DR. VINCENT LEE MITCHELL D.C.
Chiropractor
2318 PASS RD, SUITE 7
BILOXI, MS 39531
Harrison County (228) 385-0088

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Broadwater Dental's NPI number?

The NPI number for Broadwater Dental is 1386186278. It was assigned to this organization in the NPPES registry on November 9, 2016.

Where is Broadwater Dental located?

Broadwater Dental is located at 2318 Pass Rd Ste 9, Biloxi, MS 39531. The listed phone number is (228) 388-3353.

What is Broadwater Dental's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Broadwater Dental was last updated on November 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.