Anthony R Brock DMD PLLC
Organization Active NPI General Practice Dentistry · Glendale, AZ
NPI 1790239010 · NPPES record last updated Aug 4, 2016
Key facts
- NPI
- 1790239010
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 8885 (AZ)
- Legal business name
- ANTHONY R BROCK DMD PLLC
- Practice address
- 3870 W Happy Valley Rd
Suite #154
Glendale, AZ 85310-3295 - Phone
- (623) 533-4895
- Fax
- (623) 533-6246
- NPI assigned
- Aug 4, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Anthony R Brock, DMD
- Title
- Manager
- Phone
- (623) 533-4895
Practitioners 1
-
Anthony R Brock, D.M.D
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 8885 | AZ | Yes |
Addresses
Primary practice location
3870 W Happy Valley Rd
Suite #154
Glendale, AZ 85310-3295
Mailing address
3870 W Happy Valley Rd
Suite #154
Glendale, AZ 85310-3295
Phone (623) 533-4895
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083976732 | Other | AZ | NPI# |
Other names
- Stetson Village Family Dentistry
Other providers in Glendale, AZ
- Angle Orthodontics LLC
- Mandy Anglin
- Melanie Anspaugh
- Nicole Antes
- Anthony C. Pozun, D.O., PLLC
- Andrew B. Anthony
- Taylar Antibus
- Haley Antonacci-Calcagni
- Romelda Antonio
- Ana Anusic
All providers in Glendale, AZ · General Practice Dentistry in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.