Anthony R Brock, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8885 Issued in AZ

Practice address

3870 W Happy Valley Rd Ste 154
Glendale, AZ 85310-3296

Phone

(623) 533-4895

Fax

(623) 533-6246

NPI assigned

Jun 8, 2012

Last updated

Oct 12, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anthony R Brock DMD PLLC

  dba Stetson Village Family Dentistry

  • General Practice Dentistry
  • Glendale, AZ
  • NPI 1790239010
  NPD (past) Authorized official
• Stetson Village Dental LLC

  dba Stetson Village Family Dental

  • General Practice Dentistry
  • Glendale, AZ
  • NPI 1104590728
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1083976732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3870 W HAPPY VALLEY RD STE 154",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853103296",
            "telephone_number": "623-533-4895",
            "fax_number": "623-533-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3870 W HAPPY VALLEY RD STE 154",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853103296",
            "telephone_number": "623-533-4895",
            "fax_number": "623-533-6246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6847 W Happy Valley Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853834209",
            "country_code": "US",
            "telephone_number": "623-278-0359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROCK",
        "first_name": "ANTHONY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-08",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "8885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yadira Brito
• Matthew Cale Britton
• Emily Bro
• Teresa C Brobeck, PH.D.
• Robert Broberg, RPH
• Austin Michael Brock, DMD
• Danielle Brock, PHARMD
• Myles Brockelman
• Carlos Brockman, BC HIS
• Jacob Brockmann, PA-C

• General Practice Dentistry in Glendale, AZ
• Providers in Glendale, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.