person
John E Brock, DDS
Oral and Maxillofacial Surgery (Dentist) in Hurricane, West Virginia
NPI 1376555227

John E Brock is a Oral and Maxillofacial Surgery (Dentist) based in Hurricane, WV and is specialized in Oral and Maxillofacial Surgery. John E Brock practices in Hurricane, WV and has the professional credentials of DDS. The NPI Number for John E Brock is 1376555227 and holds a License No. 3308 (West Virginia).

The current practice location address for John E Brock is 100A Prestige Park Dr, Hurricane, WV and can be reached out via phone at 304-757-0272 and via fax at 304-757-0273.

Location: 100A Prestige Park Dr, Hurricane, WV, 25526-8747
person
Provider Profile Details
NPI Number
1376555227
Provider Name
John E Brock
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
100A Prestige Park Dr, Hurricane, WV, 25526-8747
Phone Number
304-757-0272
Fax Number
304-757-0273
Provider Enumeration Date
08/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
129 01 WV SPECIALIST, ORAL AND MAXILLOFACIAL SURGERY
3308 01 WV WV DENTAL LIC.
3810012787 05 WV
10439 01 KY KY DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
100A Prestige Park Dr
City
State
Zip
25526-8417
Phone Number
304-757-0272
Fax Number
304-757-0273
person
Provider Business Mailing Address Details
Address
100A Prestige Park Dr
City
State
Zip
25526-8417
Phone Number
304-757-0272
Fax Number
304-757-0273
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
3308 (West Virginia)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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