Individual provider · Type 1 NPI

Tanner D. Brock, DDS

Periodontics · Wichita, KS

NPI number 1053761072 Active

Practice location

2981 N. Webb Rd.
Wichita, KS 67226

Call (316) 685-2731 Map

Fax (316) 685-6946

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X61221 (KS)
Periodontics Primary 1223P0300X61221 (KS)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

2 other providers at this address

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About NPI 1053761072

Tanner D. Brock, DDS's National Provider Identifier is 1053761072, issued on Jun 21, 2016. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Wichita, KS. The record was last updated on Apr 14, 2020.