Individual provider · Type 1 NPI

Jefferson C. Brock

General Practice Dentistry · Skokie, IL

NPI number 1407974215 Active

Practice location

9631 Gross Point Rd Ste 1
Skokie, IL 60076-1264

Call (847) 673-6616 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XA12889 (IL)

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 1407974215

Jefferson C. Brock's National Provider Identifier is 1407974215, issued on Mar 27, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Skokie, IL. The record was last updated on Jul 8, 2007.