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Dr. Jefferson C Brock
General Practice Dentistry in Skokie, Illinois
NPI 1407974215

Jefferson C Brock is a General Practice Dentistry based in Skokie, IL and is specialized in General Practice. Jefferson C Brock practices in Skokie, IL. The NPI Number for Jefferson C Brock is 1407974215 and holds a License No. A12889 (Illinois).

The current practice location address for Jefferson C Brock is 9631 Gross Point Rd Ste 1, Skokie, IL and can be reached out via phone at 847-673-6616.

Location: 9631 Gross Point Rd Ste 1, Skokie, IL, 60076-1264
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407974215
Provider Name
Jefferson C Brock
Credential
Provider Entity Type
Individual
Gender
Male
Address
9631 Gross Point Rd Ste 1, Skokie, IL, 60076-1264
Phone Number
847-673-6616
Fax Number
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9631 Gross Point Rd Ste 1
City
Skokie
State
Illinois
Zip
60076-1264
Phone Number
847-673-6616
Fax Number
person
Provider Business Mailing Address Details
Address
9631 Gross Point Rd Ste 1
City
Skokie
State
Illinois
Zip
60076-1264
Phone Number
847-673-6616
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
A12889 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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