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Dr. Bobby Glenn Braswell JR., DDS
General Practice Dentistry in Petal, Mississippi
NPI 1295949386

Bobby Glenn Braswell JR. is a General Practice Dentistry based in Petal, MS and is specialized in General Practice. Bobby Glenn Braswell JR. practices in Petal, MS and has the professional credentials of DDS. The NPI Number for Bobby Glenn Braswell JR. is 1295949386 and holds a License No. 3411-07 (Mississippi).

The current practice location address for Bobby Glenn Braswell JR. is 139 S Main St, Petal, MS and can be reached out via phone at 601-584-9481 and via fax at 601-544-5161.

Location: 139 S Main St, Petal, MS, 39465
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295949386
Provider Name
Bobby Glenn Braswell JR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
139 S Main St, Petal, MS, 39465
Phone Number
601-584-9481
Fax Number
601-544-5161
Provider Enumeration Date
05/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12264946 01 MS CAQH ID#
institution
Provider Business Practice Location Address Details
Address
139 S Main St
City
Petal
State
Mississippi
Zip
39465
Phone Number
601-584-9481
Fax Number
601-544-5161
person
Provider Business Mailing Address Details
Address
139 S Main St
City
Petal
State
Mississippi
Zip
39465
Phone Number
601-584-9481
Fax Number
601-544-5161
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
3411-07 (Mississippi)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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