Individual provider · Type 1 NPI

Kenneth Robert Brocker, DDS

Dentist · Chicago, IL

NPI number 1184682791 Active

Practice location

3135 W 111th St
Chicago, IL 60655

Call (773) 238-4451 Map

Fax (773) 238-9561

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XNone listed

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1184682791

Kenneth Robert Brocker, DDS's National Provider Identifier is 1184682791, issued on May 3, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Chicago, IL. The record was last updated on Jul 13, 2026.