Individual provider · Type 1 NPI
Jeremy Dustin Brock, DMD
General Practice Dentistry · Southern Pines, NC
NPI number
1386392629
Active
Practice location
10868 US Highway 15 501 Ste 100
Southern Pines, NC 28387-5149
Mailing address
10868 US 15 501 Hwy Ste 100
Southern Pines, NC 28387-5149
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 12842 (NC) |
General Practice Dentistry: 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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About NPI 1386392629
Jeremy Dustin Brock, DMD's National Provider Identifier is 1386392629, issued on Mar 15, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Southern Pines, NC. The record was last updated on Sep 8, 2026.