Brock, Adam Wiley

Brock, Adam Wiley is an individual health care provider with primary practice located at 700 24Th St , Fort Gregg Adams VA 23801-1716. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Brock, Adam Wiley can be contacted via phone (804) 734-9607.

Contact Information

Primary practice address
700 24Th St Fort Gregg Adams VA 23801-1716
Phone: (804) 734-9607
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DS0382820 Pennsylvania

Profile Details

NPI number 1184930653
LBN Legal business name Brock, Adam Wiley
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2010
Last updated May 24th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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