Alan Brock Estate

Organization Active NPI General Practice Dentistry · Athens, TN

NPI 1003774902 · NPPES record last updated Jan 12, 2026

Key facts

NPI
1003774902
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
ALAN BROCK ESTATE
Practice address
800 W Madison Ave
Athens, TN 37303-3430
Phone
(423) 745-5212
NPI assigned
Jan 12, 2026
Organization subpart
No

Authorized official

Name
Alan Brock, DDS
Title
Owner
Phone
(423) 745-5212

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

800 W Madison Ave
Athens, TN 37303-3430

Mailing address

800 W Madison Ave
Athens, TN 37303-3430

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 12, 2026.

{
    "created_epoch": "1768176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1003774902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W MADISON AVE",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W MADISON AVE",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033430",
            "telephone_number": "423-745-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN BROCK ESTATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-12",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-745-5212",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TN

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Sources for this page

Verify at the official NPI Registry.