Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TANNER D BROCK, DDS
Active Sole ProprietorDR. TANNER D BROCK, DDS is a Periodontology healthcare provider located in WICHITA, Kansas. NPI 1053761072 is currently active in the NPPES registry. Verify at CMS.
Periodontology · WICHITA, KS
Registration Details
- NPI Number
- 1053761072
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 21, 2016 (10.173666156499 yrs)
- Last Updated
- Apr 14, 2020
- Licenses
-
61221 (KS)61221 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2981 N. WEBB RD.WICHITA, KS, 67226Browse KS providers · Browse ZIP 67226
- Phone
- 3166852731
- Fax
- 3166856946
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Other Periodontology Providers in WICHITA, KS
| Name | Credential | NPI |
|---|---|---|
| DR. CHARLES F SQUIRE | DDS | 1902808595 |
| DR. JASON E WAGLE | DDS | 1932283256 |
| DR. MARK A MOXLEY | DDS | 1053495366 |
| DR. LANA K ANDERSON | DDS | 1871664847 |
| MARQUEZ JAMAR SAMS | DMD | 1972629921 |
| DR. DAVID LEWIS MAY | DDS, MS | 1275723397 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.