Wells S. Brockbank in Spanish Fork - General Practice

Wells S. Brockbank - NPI 1487752630

Wells S. Brockbank is a General Practice in Spanish Fork, Utah. Wells S. Brockbank practices all healthcare services and medical treatments related to General Practice. The NPI Number for Wells S. Brockbank is 1487752630. The last update date is 2007-07-08.

Wells S. Brockbank's current location address is 490 N Main St, Spanish Fork, Utah. You can contact this provider via phone number 8017989874 and fax number 8017989630. The mailing address for Wells S. Brockbank is 490 N Main St, Spanish Fork, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Wells S. Brockbank
Address 490 N Main St, Spanish Fork, Utah
Phone Number 8017989874
Fax Number 8017989630
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1487752630
Provider Enumeration Date 2006-09-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 490 N Main St
City Spanish Fork
State Utah (UT)
Post Code 846601440
Phone Number 8017989874
Fax Number 8017989630

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 142412
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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FAQs about Wells S. Brockbank

What is the unique 10-digit identifier code issued to Wells S. Brockbank by the Centers for Medicare & Medicaid Services?

The Wells S. Brockbank has been assigned the NPI (National Provider Identifier) 1487752630 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Wells S. Brockbank's physical address?

The Wells S. Brockbank is physically located at 490 N Main St, in the city of Spanish Fork, UT, with the postal code 846601440.

What is Wells S. Brockbank's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Wells S. Brockbank is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date did the Wells S. Brockbank receive the assignment of its 1487752630 from the Centers for Medicare & Medicaid Services?

The Wells S. Brockbank was issued its 1487752630 by the Centers for Medicare & Medicaid Services on 2006-09-20.

When was the information pertaining to Wells S. Brockbank most recently updated or revised?

The details related to Wells S. Brockbank, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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