Individual provider · Type 1 NPI

Eric Scott Brockman, DMD, MSD

Periodontics · Philadelphia, PA

NPI number 1336211614 Active

Practice location

7601 Castor Ave Ste 300
Philadelphia, PA 19152-4027

Fax (215) 722-3734

Mailing address

635 Meadowbrook Dr Apt 635
Huntingdon Valley, PA 19006-6913

Other practice locations

  • 1685 Crown Ave, Lancaster, PA 17601-6322 · (717) 482-6542

Specialties and licenses

TaxonomyCodeLicense
Periodontics 1223P0300X00007825 (WA)
Periodontics 1223P0300X1001067-15 (WI)
Periodontics 1223P0300X11876 (TN)
Periodontics Primary 1223P0300XDS028499L (PA)

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.

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About NPI 1336211614

Eric Scott Brockman, DMD, MSD's National Provider Identifier is 1336211614, issued on Nov 14, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 11, 2023.