Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROBERT GEORGE BROCKWAY, DDS
Active Sole ProprietorDR. ROBERT GEORGE BROCKWAY, DDS is a General Dentistry healthcare provider located in FULDA, Minnesota. NPI 1629187364 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · FULDA, MN
Registration Details
- NPI Number
- 1629187364
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 29, 2006 (20.001016648363 yrs)
- Last Updated
- Jul 8, 2007
- License
-
D8209 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
106 NW 2ND ST.FULDA, MN, 561310288Browse MN providers · Browse ZIP 56131
- Phone
- 5074252276
- Primary Specialty
-
General Dentistry
1223G0001X
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.