Dr. Bobby Glenn Braswell Jr. is a Petal, Mississippi based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Bobby Glenn Braswell Jr. is 3411-07 for General Practice Dentistry in Mississippi. His current practice location is 139 S Main St, Petal. Patients can reach him at 601-584-9481.
Dr. Bobby Glenn Braswell Jr. is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Bobby Glenn Braswell Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Bobby Glenn Braswell Jr.
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
139 S Main St, Petal, Mississippi, 39465
Phone:
601-584-9481
Fax:
601-544-5161
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1295949386
NPI Enumeration Date:
09 May, 2007
NPI Last Update On:
17 Oct, 2014
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Bobby Glenn Braswell Jr. are as mentioned below.
License Number
Specialization
State
Status
3411-07
General Practice Dentistry
Mississippi
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Bobby Glenn Braswell Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
12264946
Other
Mississippi
CAQH ID#
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
139 S Main St, Petal, Mississippi
Zip:
39465
Phone Number:
601-584-9481
Fax Number:
601-544-5161
Patients can reach Dr. Bobby Glenn Braswell Jr. at 139 S Main St, Petal, Mississippi or can call to book an appointment on 601-584-9481. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.