Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mundy Scott Breazeale Sr.

Individual provider Dentist · NPI 1669489290

Dr. Mundy Scott Breazeale Sr. is a Dentist in Gulfport, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2006
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Practice location Address checks out

430 Security Sq
Gulfport, MS 39507-1952
Phone: (228) 896-7022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 271493 (MS)

Record details

NPI number1669489290
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 3, 2006
Last updated in NPPESJuly 8, 2007

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