Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRIAN D KLOCKOW, DDS
ActiveDR. BRIAN D KLOCKOW, DDS is a Dentist healthcare provider located in WABENO, Wisconsin. NPI 1881605921 is currently active in the NPPES registry. Verify at CMS.
Dentist · WABENO, WI
Registration Details
- NPI Number
- 1881605921
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 11, 2006 (20.037428820767 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2274 (WI)
Practice Information
- Address
-
4488 N BRANCH STWABENO, WI, 545660161Browse WI providers · Browse ZIP 54566
- Phone
- 7154736711
- 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.