Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EVERETT BROKAW, DMD
ActiveEVERETT BROKAW, DMD is a Dentist healthcare provider located in KNOXVILLE, Illinois. NPI 1205366242 is currently active in the NPPES registry. Verify at CMS.
Dentist · KNOXVILLE, IL
Registration Details
- NPI Number
- 1205366242
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2017 (9.1603269394815 yrs)
- Last Updated
- Jan 13, 2026
- License
-
019034759 (IL)
Practice Information
- Address
-
228 E MAIN STKNOXVILLE, IL, 614481351Browse IL providers · Browse ZIP 61448
- Phone
- 9999999999
- Primary Specialty
-
Dentist
122300000X
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.