John E Brock in Hurricane - Oral And Maxillofacial Surgery
John E Brock - NPI 1376555227
John E Brock is a Oral And Maxillofacial Surgery in Hurricane, . John E Brock practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for John E Brock is 1376555227. The last update date is 2022-09-26.
John E Brock's current location address is 100a Prestige Park Dr, Hurricane, . You can contact this provider via phone number 3047570272 and fax number 3047570273. The mailing address for John E Brock is 100a Prestige Park Dr, Hurricane, . To know further, please read the information below!
Provider Profile Detail
Provider Name | John E Brock |
---|---|
Address | 100a Prestige Park Dr, Hurricane, |
Phone Number | 3047570272 |
Fax Number | 3047570273 |
Sole Proprietor | N |
Credentials | D.D.S. |
NPI Number Detail
NPI Number | 1376555227 |
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Provider Enumeration Date | 2006-08-12 |
Last Updated Date | 2022-09-26 |
Provider Mailing Address Detail
Address | 100a Prestige Park Dr |
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City | Hurricane |
State | (WV) |
Post Code | 255268417 |
Phone Number | 3047570272 |
Fax Number | 3047570273 |
Provider's Primary Taxonomy Detail
Speciality | Oral And Maxillofacial Surgery |
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Taxonomy | 1223S0112X |
Licence No | 3308 |
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
129 | WV | SPECIALIST, ORAL AND MAXILLOFA | |
3308 | WV | WV DENTAL LIC. | |
3810012787 | WV | -- | |
10439 | KY | KY DENTAL LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to John E Brock by the Centers for Medicare & Medicaid Services?
The John E Brock has been issued the NPI (National Provider Identifier) 1376555227. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of John E Brock?
The John E Brock is physically situated at 100A Prestige Park Dr, in the city of Hurricane, state of WV, with the postal code 255268417.
What is John E Brock's specialized field of practice, and what is the corresponding taxonomy classification code?
The John E Brock's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 1223S0112X.
On what date did John E Brock receive its 1376555227 assignment from the Centers for Medicare & Medicaid Services?
The John E Brock was assigned its 1376555227 on 2006-08-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to John E Brock most recently updated or revised?
The information pertaining to John E Brock, including its address, specialty, and other relevant details, was last updated or revised on 2022-09-26.
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