Brock, Jeremy Dustin

Brock, Jeremy Dustin is an sole proprietor health care provider with primary practice located at 10868 Us Highway 15 501 , Southern Pines NC 28387-5149. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Brock, Jeremy Dustin can be contacted via phone (910) 585-0262.

Contact Information

Primary practice address
10868 Us Highway 15 501 Southern Pines NC 28387-5149
Phone: (910) 585-0262
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 12842 North Carolina
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X 12842 North Carolina

Profile Details

NPI number 1386392629
LBN Legal business name Brock, Jeremy Dustin
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2022
Last updated May 25th, 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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