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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ERIC SCOTT BROCKMAN, DMD, MSD

Active

DR. ERIC SCOTT BROCKMAN, DMD, MSD is a Periodontology healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1336211614 is currently active in the NPPES registry. Verify at CMS.

Periodontology · PHILADELPHIA, PA

Registration Details

NPI Number
1336211614
Provider Type
Individual
Gender
Male
NPI Issued
Nov 14, 2006 (19.711328349737 yrs)
Last Updated
Aug 11, 2023
Licenses
00007825 (WA)
1001067-15 (WI)
11876 (TN)
DS028499L (PA)

Practice Information

Address
7601 CASTOR AVE STE 300
PHILADELPHIA, PA, 191524027
Browse PA providers · Browse ZIP 19152
Phone
2157224290
Fax
2157223734
Primary Specialty
Periodontology
1223P0300X
Additional Specialty
Periodontology
Additional Specialty
Periodontology
Additional Specialty
Periodontology

Other Periodontology Providers in PHILADELPHIA, PA

Name Credential NPI
JONATHAN MARK KOROSTOFF DMD 1154358042
DR. KENNETH WILLIAM LAUDENBACH D.D.S. 1265453187
JAY B LAUDENBACH D.M.D. 1780608620
DR. LOUIS FRANK ROSE D.D.S., M.D. 1427062512
BARRY L PORTEN D.D.S. 1730197880
DR. ROBERT A LEVINE DDS, PC 1144306275
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.