Brockton Brown, DMD
Individual provider Active NPI General Practice Dentistry · West Plains, MO
NPI 1982394730 · NPPES record last updated Aug 4, 2025
Key facts
- NPI
- 1982394730
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2025027793 (MO)
- Practice address
- 3000 Independence SQ
West Plains, MO 65775-4239 - Phone
- (870) 917-4148
- NPI assigned
- May 15, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025027793 | MO | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2025027793 | MO | Yes |
Addresses
Primary practice location
3000 Independence SQ
West Plains, MO 65775-4239
Mailing address
22 Dogwood Cir
West Plains, MO 65775-5171
Other providers in West Plains, MO
- Sara Beth Brewer
- Ashley Briggs
- Joel Brockett
- Gary W Brooks Jr.
- Kimberly Dawn Brower
- Emily Brown
- James Michael David Brown
- Michelle Brown
- Rebecca Brown
- Sonia M Browning Gerlick
All providers in West Plains, MO · General Practice Dentistry in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2025. 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.