Individual provider · Type 1 NPI

Mikaela An Brock, DMD

General Practice Dentistry · Boston, MA

NPI number 1891482220 Active

Practice location

150 S Huntington Ave
Boston, MA 02130-4817

Mailing address

15 Vernon St Apt 3
Brookline, MA 02446-4952

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDN1859756 (MA)

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 1891482220

Mikaela An Brock, DMD's National Provider Identifier is 1891482220, issued on Apr 18, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Boston, MA. The record was last updated on Feb 5, 2024.