person
Douglas John Brockman, DDS
Pediatric Dentist in Middletown, Ohio
NPI 1174583306

Douglas John Brockman is a Pediatric Dentist based in Middletown, OH and is specialized in Pediatric Dentistry. Douglas John Brockman practices in Middletown, OH and has the professional credentials of DDS. The NPI Number for Douglas John Brockman is 1174583306 and holds a License No. 18488 (Ohio).

The current practice location address for Douglas John Brockman is 210 S Breiel Blvd, Middletown, OH and can be reached out via phone at 513-423-9239.

Location: 210 S Breiel Blvd, Middletown, OH, 45044-5157
person
Provider Profile Details
NPI Number
1174583306
Provider Name
Douglas John Brockman
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
210 S Breiel Blvd, Middletown, OH, 45044-5157
Phone Number
513-423-9239
Fax Number
Provider Enumeration Date
03/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0701379 05 OH
0743637 05 OH
institution
Provider Business Practice Location Address Details
Address
210 S Breiel Blvd
City
State
Zip
45044-5157
Phone Number
513-423-9239
Fax Number
person
Provider Business Mailing Address Details
Address
210 S Breiel Blvd
City
State
Zip
45044-5157
Phone Number
513-423-9239
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
18488 (Ohio)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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