Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROBERT L BROCKETT, D.M.D.
Active Sole ProprietorROBERT L BROCKETT, D.M.D. is a Oral & Maxillofacial Surgery healthcare provider located in CRYSTAL RIVER, Florida. NPI 1730287616 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · CRYSTAL RIVER, FL
Registration Details
- NPI Number
- 1730287616
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 21, 2006 (19.935536401265 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DN 8810 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6129 W CORPORATE OAKS DRCRYSTAL RIVER, FL, 344298732Browse FL providers · Browse ZIP 34429
- Phone
- 3527954994
- Fax
- 3527954609
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
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.