Broadwater Dental

Broadwater Dental is a healthcare organization registered as Dentist in Biloxi, MS, holding Type 2 (organization) NPI 1386186278 since 2016. The authorized official on file is Clifford Cook, Dentist.

✓ Active NPI ✓ Valid NPI checksum

NPI	1386186278
Entity type	Organization (Type 2)
Legal business name	Broadwater Dental
Practice address	2318 PASS RD, STE 9, Biloxi, MS, 39531
Phone	2283883353
Fax	2283884696
Enumeration date	2016-11-09
Last updated in NPPES	2016-11-09

Authorized official

Name	Clifford Cook
Title	Dentist
Phone	2283883353

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
122300000X	Dentist	Primary	MS3497-09	MS

Other identifiers

Identifier	Type	State	Issuer
01754550	Medicaid	MS	—

Copy-ready billing details

Provider: Broadwater Dental
NPI: 1386186278
Taxonomy: 122300000X (Dentist)
Address: 2318 PASS RD, STE 9, Biloxi, MS, 39531

Providers at this address

NPI	Name	Type	Specialty	Location
1407835408	Christopher Rains	Individual	Optometrist	Biloxi, MS
1467402966	Vincent Mitchell	Individual	Chiropractor	Biloxi, MS

Verify this record

Cross-check NPI 1386186278 against the authoritative CMS record: view Broadwater Dental on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Broadwater Dental located?

The practice location on file with NPPES is in Biloxi, MS.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-11-09. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-11-09.